Individual
MRS. RANDA ROUNDTREE CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 335-9400
(252) 335-9404
Mailing address
102 SUTTON DR, ELIZABETH CITY, NC 27909-6248
(252) 435-9893
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LCAS-21742
NC
Other
Enumeration date
02/25/2013
Last updated
04/15/2016
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