Individual
ALYSSA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 E MILLBROOK RD, RALEIGH, NC 27609-4812
(919) 850-9111
Mailing address
1600 E GUDE DR, STE 200, ROCKVILLE, MD 20850-1496
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
647
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
647
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
647
NC
213ES0131X
Foot Surgery Podiatrist
647
NC
Other
Enumeration date
04/18/2014
Last updated
08/09/2022
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