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Individual
CARRIE H VICE
Active
Individual
CARRIE H VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400276
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136V3
BCBS
NC
05
—
89136V3
—
NC
01
—
P00163101
RAILROAD
NC
05
—
Q0027F
—
SC
Enumeration date
04/05/2006
Last updated
03/16/2009
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