Healthcare Provider Details

I. General information

NPI: 1932738440
Provider Name (Legal Business Name): CASSANDRA CARR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA SAUNDERS

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23265 HIGHWAY 76 E
CLINTON SC
29325-7532
US

IV. Provider business mailing address

144 GULLIVER ST
FOUNTAIN INN SC
29644-1919
US

V. Phone/Fax

Practice location:
  • Phone: 864-547-8300
  • Fax:
Mailing address:
  • Phone: 828-448-5810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number89899
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: