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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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