Individual
CARROLL CHRISTOPHER OVERTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
36124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118K
BULECROSS BLUESHIELD
NC
01
—
16-54638
UNITED HEALTHCARE
NC
01
—
16-54639
UNITED HEALTHCARE
NC
01
—
16-54640
UNITED HEALTHCARE
NC
01
—
78569
MEDCOST
NC
01
—
78570
MEDCOST
NC
05
—
891118K
—
NC
01
—
B6910
MEDCOST
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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