Healthcare Provider Details

I. General information

NPI: 1497101901
Provider Name (Legal Business Name): AMBER NICOLE CARRIER MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRESHAM DR STE 8620
NORFOLK VA
23507-1904
US

IV. Provider business mailing address

2200B BROOKVILLE DR
GREENVILLE NC
27834-8746
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-1600
  • Fax:
Mailing address:
  • Phone: 812-454-4852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101278590
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: