Organization
BURLINGTON ANESTHESIA PA
Active
Organization
BURLINGTON ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J CARROLL MD (PRES)
(336) 585-1770
Entity
Organization
Contact information
Practice address
1236 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 585-1770
(336) 585-1771
Mailing address
PO BOX 1832, BURLINGTON, NC 27216-1832
(706) 860-2701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
367500000X
Certified Registered Nurse Anesthetist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000236
—
NC
05
—
89011998
—
NC
05
—
QPA089
—
SC
Enumeration date
01/16/2006
Last updated
07/21/2022
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