NPI 1003251562

Ian Michael Carrese, PAC

Practitioner Physician Assistant Lancaster, SC

Practice location

Address: 800 W Meeting St, Lancaster, SC 29720-2202
Phone: (843) 792-1414
Mailing address: PO Box 935722, Atlanta, GA 31193-5722

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1939 (SC)

Other Physician Assistant providers in South Carolina →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003251562
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2013
Record last updated: 24 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.