Individual
DR. JAMES LENNART CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7490 ANDREW JACKSON HWY.SW, CERRO GORDO, NC 28430
(910) 654-2050
(910) 654-1258
Mailing address
510 KINGSWORTH LN SE, LELAND, NC 28451-8582
(910) 383-2226
(910) 654-1258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200200010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F70725
—
NC
Enumeration date
09/05/2006
Last updated
07/08/2007
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