Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 31942 | SC |
N | 208000000X | Pediatrician | 31942 | SC |
NPI | 1003044645 |
---|---|
Provider Name | Carolyn Reed Word |
First Address | Mount Pleasant, SC 29464-1810 |
Second Address | Mount Pleasant, SC 29464-1810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 04/05/2015 |