MEDICARE: CAROLINE PFOHL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	31475	SC
2	202D00000X	Integrative Medicine Physician	31475	SC

General Provider Information

NPI Number	:	1437081643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE PFOHL FNP

Provider Business Mailing Address
First Line	:	6985 PUMPKINSEED DR
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-9040
Country	:	US
Telephone Number	:	571-271-1574
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 SAM RITTENBERG BLVD STE 201
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4137
Country	:	US
Telephone Number	:	843-793-1353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ CAROLINE PFOHL FNP” Practice Location

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