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NPI Code Detail

MEDICARE: DR. RAYMOND MCKAY CARROLL M.D.

MEDICARE: DR. RAYMOND MCKAY CARROLL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician200501553NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11136933OTHERAETNA HMO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37609377OTHERAETNA PPO
42221221OTHERUNITED HEALTHCARE
5141P3OTHERBCBS

General Provider Information

NPI Number : 1184622052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND MCKAY CARROLL M.D.
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number : 984-215-4110
Fax Number :
Provider Business Practice Location Address
First Line : 1120 SE CARY PKWY
Second Line : SUITE 100
City : CARY
State : NC
Zip : 27518-7413
Country : US
Telephone Number : 919-467-4992
Fax Number : 919-467-4339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 05/06/2021

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