Individual
DR. BETH L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4105 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105-3633
(704) 384-9920
(704) 384-9925
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9920
(704) 384-9925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500019
NC
207Q00000X
Family Medicine Physician
ME104131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278800
—
FL
Enumeration date
08/01/2005
Last updated
10/25/2020
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