Provider Demographics
NPI:1710678727
Name:MARCHANT, PAISLIE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:PAISLIE
Middle Name:
Last Name:MARCHANT
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 GARLINGTON RD STE D11
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4611
Mailing Address - Country:US
Mailing Address - Phone:864-243-1043
Mailing Address - Fax:
Practice Address - Street 1:319 GARLINGTON RD STE D11
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4611
Practice Address - Country:US
Practice Address - Phone:864-243-1043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMW-0112176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife