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Individual

COURTNEY EVANS CARROUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
850 WH SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 758-3211
Mailing address
916 CHESAPEAKE PL, GREENVILLE, NC 27858-6243
(252) 717-3394

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
253101
NC
363LF0000X
Family Nurse Practitioner
Primary
5007667
NC

Other

Enumeration date
06/04/2015
Last updated
12/20/2021
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