Healthcare Provider Details

I. General information

NPI: 1114321080
Provider Name (Legal Business Name): CARINA NUNES DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARINE NUNES

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E BLACKSTOCK RD
SPARTANBURG SC
29301-2618
US

IV. Provider business mailing address

126 MEADOWLARK LN
COLUMBUS NC
28722-9404
US

V. Phone/Fax

Practice location:
  • Phone: 864-587-1633
  • Fax:
Mailing address:
  • Phone: 828-817-9462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number2334
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: