Individual
DR. EBEN A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-8018
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-8018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AN3187956I14
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909820
—
NC
Enumeration date
05/14/2007
Last updated
11/15/2010
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