Individual
CARLY DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2610 W ARROWOOD RD, CHARLOTTE, NC 28273-6134
(704) 316-1700
(704) 316-1701
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
191485
NC
207Q00000X
Family Medicine Physician
Primary
2015-02035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191485
RESIDENT TRAINING LICENSE NUMBER
NC
Enumeration date
05/16/2013
Last updated
03/07/2023
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