Individual
MRS. CARLIE MARGARET INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 COMMERCIAL ST STE 404, CONCORD, NH 03301-5096
(603) 228-1763
(603) 227-7539
Mailing address
60 COMMERCIAL ST STE 404, CONCORD, NH 03301-5096
(603) 228-1763
(603) 227-7539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0791
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30338401
—
NH
Enumeration date
07/19/2010
Last updated
10/19/2022
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