=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417489782
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARLA BRECCIA GUARINI MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2017
-----------------------------------------------------
Last Update Date | 11/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2000 NEUSE BLVD
-----------------------------------------------------
City | NEW BERN
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28560-3449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-633-8111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 68
-----------------------------------------------------
City | POLLOCKSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28573-0068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-276-7706
-----------------------------------------------------
Fax | 252-224-0378
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 2025-02554
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 0101265168
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------