Healthcare Provider Details

I. General information

NPI: 1679918643
Provider Name (Legal Business Name): CAROLINE ATON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 05/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 RIFLE RANGE RD
MT PLEASANT SC
29464-4229
US

IV. Provider business mailing address

1120 RIFLE RANGE RD
MT PLEASANT SC
29464-4229
US

V. Phone/Fax

Practice location:
  • Phone: 843-883-3118
  • Fax: 843-883-3134
Mailing address:
  • Phone: 843-883-3118
  • Fax: 843-883-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number63729
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: