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Individual

DR. ANTONIO MIGUEL CARBONELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 N 35TH ST, SUITE 1, MOREHEAD CITY, NC 28557-3103
(252) 247-0094
(252) 247-9285
Mailing address
215 N 35TH ST, SUITE 1, MOREHEAD CITY, NC 28557-3103
(252) 247-0094
(252) 247-9285

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27897
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21097
BCBS EDS IP NUMBER
NC
Enumeration date
11/20/2006
Last updated
07/08/2007
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