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Individual

BRANDON COLBY CARLISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1385 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870-5130
(252) 537-9176
(252) 537-6851
Mailing address
1385 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870-5130
(252) 537-9176

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/05/2016
Last updated
10/22/2025
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