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Individual

DR. ALICIA MARIE CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2660 TATE BLVD SE, SUITE 200, HICKORY, NC 28602-1465
(828) 267-2660
(828) 267-2661
Mailing address
2660 TATE BLVD SE, SUITE 200, HICKORY, NC 28602-1465
(828) 267-2660

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200101318
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89130G1
NC
Enumeration date
07/24/2006
Last updated
09/26/2014
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