Provider Demographics
NPI:1891810115
Name:ANRRICH, CARLOS AGUSTIN (RN)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:AGUSTIN
Last Name:ANRRICH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HUNTERS POND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9041
Mailing Address - Country:US
Mailing Address - Phone:803-736-6780
Mailing Address - Fax:803-777-0126
Practice Address - Street 1:THOMSON STUDENT HEALTH CTR
Practice Address - Street 2:UNIVERSITY OF SOUTH CAROLINA
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29208-0001
Practice Address - Country:US
Practice Address - Phone:803-777-3658
Practice Address - Fax:803-777-0126
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR53289390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program