Individual
DR. MARY S CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
(703) 536-1400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101044132
VA
207W00000X
Ophthalmology Physician
D38787
MD
207W00000X
Ophthalmology Physician
MD16505
DC
Other
Enumeration date
11/16/2006
Last updated
11/01/2011
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