Individual
MICHAEL J. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 N WASHINGTON HWY, ASHLAND, VA 23005-1317
(804) 798-9208
(804) 798-8108
Mailing address
635 N WASHINGTON HWY, ASHLAND, VA 23005-1317
(804) 798-9208
(804) 798-8108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005821274
—
VA
01
—
110170591
RAILROAD MEDICARE
VA
01
—
223935
ANTHEM BCBS OF VA
VA
01
—
2263771
CIGNA
VA
01
—
267461
MAMSI
VA
01
—
5080654
AETNA HMO
VA
01
—
84862
SENTARA
VA
01
—
C05704
GROUP PTAN
VA
Enumeration date
07/07/2006
Last updated
01/02/2010
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