Healthcare Provider Details

I. General information

NPI: 1821376450
Provider Name (Legal Business Name): CAROLINA ACCESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 08/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 BERKELEY RD
COLUMBIA SC
29205-1414
US

IV. Provider business mailing address

1504 BERKELEY RD
COLUMBIA SC
29205-1414
US

V. Phone/Fax

Practice location:
  • Phone: 803-767-1023
  • Fax:
Mailing address:
  • Phone: 803-767-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CORBETT ELIZABETH TOUSSAINT
Title or Position: OWNER/OPERATOR
Credential: DPM
Phone: 803-767-1023