Provider Demographics
NPI:1336873579
Name:MAIER, CAROLINE READE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:READE
Last Name:MAIER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:645-228-6038
Mailing Address - Fax:
Practice Address - Street 1:14 RICHLAND MEDICAL PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6882
Practice Address - Country:US
Practice Address - Phone:803-296-7846
Practice Address - Fax:803-296-9699
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-25
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Provider Licenses
StateLicense IDTaxonomies
SC4468363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant