Individual
CARRIE A MCGROARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610
(919) 350-7666
(919) 350-1404
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00903
NC
363A00000X
Physician Assistant
0110001852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-00903
PA LICENSE
NC
01
—
0110001852
PA LICENSE
VA
Enumeration date
01/09/2007
Last updated
03/09/2021
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