Provider Demographics
NPI:1235350117
Name:SLOAN, CARL F (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:F
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:401 79TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4310
Mailing Address - Country:US
Mailing Address - Phone:843-449-7115
Mailing Address - Fax:843-497-2960
Practice Address - Street 1:401 79TH AVE N
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4310
Practice Address - Country:US
Practice Address - Phone:843-449-7115
Practice Address - Fax:843-497-2960
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD33521207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC335211Medicaid
SCAA68023761Medicare UPIN