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Individual

CHERISSA CARRINGTON HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
200400463
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649483512
NC
Enumeration date
05/08/2007
Last updated
01/18/2024
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