Individual
CARRIE ANN FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
164587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417273624
CHAMPUS
NC
05
—
1417273624
—
NC
Enumeration date
04/13/2010
Last updated
02/21/2024
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