Healthcare Provider Details

I. General information

NPI: 1023059458
Provider Name (Legal Business Name): CAROL ANN LING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 W WESMARK BLVD
SUMTER SC
29150-1977
US

IV. Provider business mailing address

PO BOX 11407
BIRMINGHAM AL
35246-8575
US

V. Phone/Fax

Practice location:
  • Phone: 843-664-9393
  • Fax: 803-775-4729
Mailing address:
  • Phone: 864-359-1308
  • Fax: 239-496-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number90531
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: