Individual
DR. DAVID RUDDLE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 LYNDHURST AVE STE 101, WINSTON SALEM, NC 27103-4146
(336) 277-6300
(336) 277-6309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-5221
(704) 765-0430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34830
NC LICENSE
NC
05
—
8921291
—
NC
Enumeration date
03/24/2006
Last updated
03/07/2023
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