Most Relevant Information
Provider Data
| NPI Number: | 1003493321 |
| Provider Name: | CARA MARIE BIRD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2021 |
| Last Updated: | 04/16/2024 |
Provider Practice Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294253498
Practice Location Phone/Fax
| Phone: | 8437922300 |
| Fax: |
Provider Mailing Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294258905
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |