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Individual

DAVID CARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 BROWN ST SW, SUITE 101, GRANITE QUARRY, NC 28072-0689
(704) 279-1697
(704) 279-1677
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(704) 279-1697
(704) 279-1677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200800898
NC
207R00000X
Internal Medicine Physician
MT184601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232009
MEDICARE GROUP PTAN
NC
05
5910164
NC
Enumeration date
12/29/2006
Last updated
10/28/2020
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