Individual
DR. CAROLINA FASOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3253
(704) 333-7376
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3253
(704) 333-7376
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2015-00752
NC
2085R0001X
Radiation Oncology Physician
38102
SC
2085R0001X
Radiation Oncology Physician
Primary
A121732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922346923
—
NC
05
—
NC2449
—
SC
Enumeration date
01/25/2013
Last updated
08/26/2015
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