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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEOFFREY CARLSON, PA

Active Sole Proprietor

GEOFFREY CARLSON, PA is a Medical Physician Assistant healthcare provider located in CLINTON, South Carolina. NPI 1417990904 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CLINTON, SC

Registration Details

NPI Number
1417990904
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2006 (20.131832120595 yrs)
Last Updated
Jul 9, 2024
Licenses
OA000359L (PA)
5248 (SC)
Sole Proprietor
Yes

Practice Information

Address
210 S BROAD ST
CLINTON, SC, 293252505
Browse SC providers · Browse ZIP 29325
Phone
8648330973
Fax
8642419290
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CLINTON, SC

Name Credential NPI
WILL GODFREY PA-C 1861844979
SAVANNAH ROSE STYLES 1255107561
INGRID LLANES PHYSICIAN ASSISTANT 1972369528
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.