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Individual

DR. BRIAN HURD CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1918 RANDOLPH RD, SUITE 275, CHARLOTTE, NC 28207-1100
(704) 384-1354
(704) 384-1374
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1354
(704) 384-1374

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101047815
VA
207Q00000X
Family Medicine Physician
Primary
2008-00321
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0181106
UNITED HEALTHCARE
VA
01
246966
ONE HEALTH PLAN
VA
01
288719
MAMSI
VA
01
383306
BCBS ANTHEM
VA
01
4315337
AETNA
VA
01
505653
NCPPO
VA
05
5615747
VA
05
5909648
NC
01
80940002
CAREFIRST
VA
Enumeration date
03/24/2006
Last updated
10/25/2020
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