Individual
NATHAN LEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1050 JABARRAH AVE, GOLDSBORO, NC 27531-2310
(919) 722-1821
Mailing address
1050 JABARRAH AVE, GOLDSBORO, NC 27531-2310
(919) 722-1821
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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