Provider Demographics
NPI:1972745529
Name:CAROLINA PROFESSIONAL STAFFING, INC.
Entity type:Organization
Organization Name:CAROLINA PROFESSIONAL STAFFING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:LOWDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-573-7032
Mailing Address - Street 1:101 N PINE ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1685
Mailing Address - Country:US
Mailing Address - Phone:864-573-7032
Mailing Address - Fax:864-573-7068
Practice Address - Street 1:101 N PINE ST
Practice Address - Street 2:SUITE 315
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1685
Practice Address - Country:US
Practice Address - Phone:864-573-7032
Practice Address - Fax:864-573-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-28
Last Update Date:2009-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care