Individual
ANDREW P CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 RAY C HUNT DR STE 3100, CHARLOTTESVILLE, VA 22903-2980
(434) 924-2203
(434) 244-4419
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101281701
VA
207T00000X
Neurological Surgery Physician
MD2011-0265
NM
207T00000X
Neurological Surgery Physician
ME113481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006523200
—
FL
01
—
14MH4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/06/2007
Last updated
07/10/2024
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