Healthcare Provider Details

I. General information

NPI: 1164495594
Provider Name (Legal Business Name): DAREN E CARLING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W PINE ST
BLACKSBURG SC
29702-1549
US

IV. Provider business mailing address

301 W PINE ST
BLACKSBURG SC
29702-1549
US

V. Phone/Fax

Practice location:
  • Phone: 864-839-4325
  • Fax: 864-839-9901
Mailing address:
  • Phone: 864-839-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23503
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: