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Carla Michelle Foley

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

115 N Sumter St, Suite 115, Sumter, SC 29150-4972

PECOS Enrollment

Based on the most recent information from CMS, provider Carla Michelle Foley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1124276233
Provider Type
Individual
Full Name
Foley, Carla Michelle
Title
Ms.
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/3/2008
Last Updated
5/25/2016

Contact Information

Practice Location

115 N Sumter St, Suite 115, Sumter, SC 29150-4972

(803) 774-7546

(803) 774-9455

Mailing Location

PO Box 402145, Atlanta, GA 30384-2145

(803) 296-7303

(803) 296-7330

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4183 South Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 675419 Texas

Provider Identifiers

ID	Description	Issuer
ID NP1657	Description Medicaid	Issuer Unlisted South Carolina

Carla Michelle Foley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Boykin, Kayla Knopf

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Hopper, Michela

Frazier, Brittney Nichole

Fralick, Jessica Ellis

Shephard, Shanika Renee

Marean, Wendy L