Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 6733 | SC |
NPI | 1053358440 |
---|---|
Provider Name | Carlysle Barfield |
First Address | Charleston, SC 29407-7757 |
Second Address | Charleston, SC 29407-6065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 13/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067331 | (05) | SC |
91760 | (02) | SC |
AA8299A745 | (02) | SC |