Individual
CAROLYN DANSKI JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
710 PARK CENTER DR STE 300, MATTHEWS, NC 28105-5082
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730030
NSC #
NC
01
—
232009
MEDICARE
NC
Enumeration date
03/01/2006
Last updated
05/03/2018
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