Individual
DR. CARROLL L. CHAMBERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203
(704) 355-2000
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2007-01731
NC
207L00000X
Anesthesiology Physician
D95693
MD
207LP3000X
Pediatric Anesthesiology Physician
15264
SC
207LP3000X
Pediatric Anesthesiology Physician
2007-01731
NC
207LP3000X
Pediatric Anesthesiology Physician
D95693
MD
207LP3000X
Pediatric Anesthesiology Physician
MD 15264
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010990
—
SC
05
—
5911774
—
NC
01
—
P00680393
RAILROAD-MEDICARE
NC
Enumeration date
12/29/2005
Last updated
04/14/2023
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