Provider Demographics
NPI:1841822756
Name:MOREFIELD, CAROLYN CARNEY (RPH)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:CARNEY
Last Name:MOREFIELD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MYRTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1024
Mailing Address - Country:US
Mailing Address - Phone:912-660-4625
Mailing Address - Fax:
Practice Address - Street 1:6000 OGEECHEE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-9544
Practice Address - Country:US
Practice Address - Phone:912-927-6117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH11445183500000X
GARPH022413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist