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1184678831
CARRIE L CORMACK
CHARLESTON, SC
NPI
1184678831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC 1880)
Enumeration Date
2006-05-19
Last Update Date
2019-11-25
Business Address
CARRIE L CORMACK PNP
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
CARRIE L CORMACK PNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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