Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 IRBY ST
WOODRUFF SC
29388-1618
US

IV. Provider business mailing address

220 IRBY ST
WOODRUFF SC
29388-1618
US

V. Phone/Fax

Practice location:
  • Phone: 864-582-2411
  • Fax:
Mailing address:
  • Phone: 864-582-2411
  • 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: