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NPI Code Detail

MEDICARE: JOSIAH M CARR II MD

MEDICARE: JOSIAH M CARR II MD
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
1208D00000XGeneral Practice Physician35292NC
2207Q00000XFamily Medicine Physician35292NC

General Provider Information

NPI Number : 1255390795
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSIAH M CARR II MD
Provider Business Mailing Address
First Line : 3500 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7509
Country : US
Telephone Number : 919-875-8150
Fax Number : 919-875-9577
Provider Business Practice Location Address
First Line : 3500 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7509
Country : US
Telephone Number : 919-875-8150
Fax Number : 919-875-9577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 01/06/2020

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Directions to “ JOSIAH M CARR II MD” Practice Location

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