MEDICARE: MS. CARMAN B KIZER APRN

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	163W00000X	Registered Nurse	220032	NC
2	363LF0000X	Family Nurse Practitioner	18463	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548694714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARMAN B KIZER APRN

Provider Business Mailing Address
First Line	:	1624 MAIN ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2818
Country	:	US
Telephone Number	:	803-726-2350
Fax Number	:	803-753-9102

Provider Business Practice Location Address
First Line	:	1326 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2337
Country	:	US
Telephone Number	:	800-491-0909
Fax Number	:	843-353-2581

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

Provider Enumeration Date	:	08/24/2013
Last Update Date	:	08/14/2018

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