Individual
ELLEN A. CARRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016-01742
NC
208600000X
Surgery Physician
35121133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102029
—
OH
Enumeration date
06/16/2009
Last updated
02/21/2024
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