Individual
RICHARD S. CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(843) 497-5929
(843) 497-6601
Mailing address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9900789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131EW
—
NC
Enumeration date
07/07/2005
Last updated
05/06/2017
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