Provider Demographics
NPI:1750957536
Name:CHEE, CARISA ANN (LAC)
Entity type:Individual
Prefix:
First Name:CARISA
Middle Name:ANN
Last Name:CHEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:CARISA
Other - Middle Name:ANN
Other - Last Name:MERZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:714 N. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609
Mailing Address - Country:US
Mailing Address - Phone:336-209-2997
Mailing Address - Fax:
Practice Address - Street 1:714 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609
Practice Address - Country:US
Practice Address - Phone:864-841-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC360171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist