Individual
CARLOS I ALARCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1101
(770) 422-8505
(770) 424-7449
Mailing address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1116
(770) 422-8505
(770) 424-7449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54534
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10066191
AMERIGROUP
GA
01
—
160380
BCBS OF GA
GA
01
—
16BBDFB
MEDICARE
GA
01
—
356358
WELLCARE
GA
05
—
524725354A
—
GA
05
—
524725354B
—
GA
01
—
7382829
AETNA
GA
Enumeration date
07/19/2006
Last updated
05/19/2011
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