Individual
DR. CHARLES CARROLL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 W MARSHALL ST, MIDDLEBURG, VA 20117-2633
(540) 326-8182
(540) 326-8195
Mailing address
9532 CARR LN, DELAPLANE, VA 20144-1748
(540) 326-8182
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101265204
VA
207XS0106X
Orthopaedic Hand Surgery Physician
036076831
IL
Other
Enumeration date
02/10/2006
Last updated
12/09/2020
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