1790601656 NPI number — AUBREIGH ISABELLA STORTINI CARTWRIGHT AUD

Table of content: AUBREIGH ISABELLA STORTINI CARTWRIGHT AUD (NPI 1790601656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790601656 NPI number — AUBREIGH ISABELLA STORTINI CARTWRIGHT AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTWRIGHT
Provider First Name:
AUBREIGH
Provider Middle Name:
ISABELLA STORTINI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790601656
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1305 REED AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTSVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29550-3423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-748-0204
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2364 W OLD CAMDEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARTSVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29550-9400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-703-5083
Provider Business Practice Location Address Fax Number:
843-892-8748
Provider Enumeration Date:
06/25/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  8058 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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