MEDICARE: DR. BETH L CARLSON 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
1	207Q00000X	Family Medicine Physician	200500019	NC
2	207Q00000X	Family Medicine Physician	ME104131	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366443392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH L CARLSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-384-9920
Fax Number	:	704-384-9925

Provider Business Practice Location Address
First Line	:	4105 MATTHEWS MINT HILL RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-3633
Country	:	US
Telephone Number	:	704-384-9920
Fax Number	:	704-384-9925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	10/25/2020

Similar Medicare Providers

1245029636 — LAURA IBANEZ HERRERA
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC
28105-3633

Practice Phone: 704-910-9306
Practice Fax:

1518967546 — NOVANT MEDICAL GROUP, INC.
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MINT HILL, NC
28105-3633

Practice Phone: 704-384-9920
Practice Fax: 704-384-9925

1750381786 — DR. LLOYD BRIDGES M.D.
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MINT HILL, NC
28105-3633

Practice Phone: 704-384-9920
Practice Fax: 704-384-9925

1386772952 — DR. KISHA ROCHELLE YOUNG M.D.
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MINT HILL, NC
28105-3633

Practice Phone: 704-384-9920
Practice Fax: 704-384-9925

1215125919 — CAROLINAS PHYSICIANS NETWORK INC.
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC
28105-3633

Practice Phone: 704-545-4609
Practice Fax: 704-545-4798

1144671942 — TONIA DAVIS BAILEY FNP
Practice Location Address:

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC
28105-3633

Practice Phone: 704-316-3095
Practice Fax: 704-316-3096

Directions to “ DR. BETH L CARLSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.