Individual
DR. CARRIE E WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2609 W ARLINGTON BLVD STE 106, GREENVILLE, NC 27834-4168
(252) 689-6303
(252) 689-6304
Mailing address
2609 W ARLINGTON BLVD STE 106, GREENVILLE, NC 27834-4168
(252) 689-6303
(252) 689-6304
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
200401596
NC
208000000X
Pediatrics Physician
Primary
200401596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139YT
BCBS
NC
05
—
5901133
—
NC
Enumeration date
08/31/2006
Last updated
11/26/2024
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