Individual
DR. PHILIP W CARROTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-5344
(434) 243-1000
(434) 243-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101271400
VA
208600000X
Surgery Physician
4301103227
MI
208600000X
Surgery Physician
MD 60156953
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101271400
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301103227
MI
390200000X
Student in an Organized Health Care Education/Training Program
0116023360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821216664
—
WA
Enumeration date
04/24/2007
Last updated
07/30/2021
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