Provider Demographics
NPI:1083684880
Name:MCCARLEY, LINDSAY M (PA)
Entity Type:Individual
Prefix:MR
First Name:LINDSAY
Middle Name:M
Last Name:MCCARLEY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SCIENCE CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9344
Mailing Address - Country:US
Mailing Address - Phone:803-252-1913
Mailing Address - Fax:803-252-2330
Practice Address - Street 1:1 SCIENCE CT
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9344
Practice Address - Country:US
Practice Address - Phone:803-252-1913
Practice Address - Fax:803-252-2330
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC81353174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC81353OtherPATHOLOGISTS' ASSISTANT