Individual
IVAN CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 PROVIDENCE RD, SUITE 203, CHARLOTTE, NC 28226-2952
(704) 512-2610
Mailing address
7800 PROVIDENCE RD, CHARLOTTE, NC 28226-2952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30789
NC
Other
Enumeration date
06/21/2005
Last updated
11/08/2018
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