CAROLYN KINZER-BEZANSON WALL M.D.
NPI 1124002712
Pathology, Anatomic Pathology & Clinical Pathology in Charleston,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 6, 2005

Contact Information

Po Box 30309
Charleston,
Post Code: 29417
Phone: (843) 554-9300
Fax: (843) 566-8780

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Carolyn Kinzer-bezanson Wall M.d. in Charleston - Pathology, Anatomic Pathology & Clinical Pathology

Carolyn Kinzer-bezanson Wall M.d. is a Pathology, Anatomic Pathology & Clinical Pathology in Charleston, . Carolyn Kinzer-bezanson Wall M.d. practices all healthcare services and medical treatments related to Pathology, Anatomic Pathology & Clinical Pathology. The NPI Number for Carolyn Kinzer-bezanson Wall M.d. is 1124002712. The last update date is 2014-12-05.

Carolyn Kinzer-bezanson Wall M.d.'s current location address is Po Box 30309, Charleston, . You can contact this provider via phone number (843) 554-9300 and fax number (843) 566-8780. The mailing address for Carolyn Kinzer-bezanson Wall M.d. is Po Box 30309, Charleston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124002712
Provider Name
CAROLYN KINZER-BEZANSON WALL M.D.
Gender
Female
Entity Type
Individual
Location Address
Po Box 30309, Charleston,
Location Phone
(843) 554-9300
Location Fax
(843) 566-8780
Mailing Address
203 Indigo Drive, Brunswick, Georgia(GA)
Mailing Phone
912-279-1900
Mailing Fax
912-261-0753
Enumeration Date
2005-12-06
Last Update Date
2014-12-05
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology, Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
-
License No.
038275
License State
Georgia (GA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207ZP0102X Anatomic Pathology & Clinical Pathology Physician

Pathology, Anatomic Pathology & Clinical Pathology

ME85489 (Florida)
2 207ZP0102X Anatomic Pathology & Clinical Pathology Physician

Pathology, Anatomic Pathology & Clinical Pathology

MD29387 (South Carolina)
3 207ZP0102X Anatomic Pathology & Clinical Pathology Physician

Pathology, Anatomic Pathology & Clinical Pathology

MD317652 (Alabama)
4 207ZP0102X Anatomic Pathology & Clinical Pathology Physician

Pathology, Anatomic Pathology & Clinical Pathology

MD.12093R/Inactive (Louisiana)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000931356 MEDICAID (05) Georgia (GA)
000931356A MEDICAID (05) Georgia (GA)
000931356B MEDICAID (05) Georgia (GA)
000931356C MEDICAID (05) Georgia (GA)
000931356D MEDICAID (05) Georgia (GA)
000931356E MEDICAID (05) Georgia (GA)
000931356F MEDICAID (05) Georgia (GA)
000931356I MEDICAID (05) Georgia (GA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124002712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214400472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 214400472
2 + 1 + 4 + 4 + 0 + 0 + 4 + 7 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1124002712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124002118 PETER KENNEDY KWOFIE
Individual
Internal Medicine, Infectious Disease 115 EAGLES NEST DR
SENECA, South Carolina (SC)
864-885-2000
1124001854 THEODORE EVERETT ROCHA
Individual
Dentist BLDG. H 2005 KNIGHT LANE
JACKSONVILLE, Florida (FL)
904-542-7200
1124001706 BILLIE JEAN WADDELL
Individual
Pediatrics 9 RICHLAND MEDICAL PARK
COLUMBIA, South Carolina (SC)
803-252-1816
1114999737 LANCE M GOWEN
Individual
Family Medicine 515 RIVERCROSSING DR STE 180
FORT MILL, South Carolina (SC)
803-547-7541
1114999513 KATHLEEN GALLAGHER OXNER
Individual
Radiology, Diagnostic Radiology 1210 W FARIS RD
GREENVILLE, South Carolina (SC)
864-295-4410