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NPI Code Detail

MEDICARE: NICOLE CARROLL MD

MEDICARE: NICOLE CARROLL 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
1207V00000XObstetrics & Gynecology Physician2010-00848NC

General Provider Information

NPI Number : 1568519429
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE CARROLL MD
Provider Business Mailing Address
First Line : 1202 MEDICAL CENTER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7307
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-341-3321
Provider Business Practice Location Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-343-1031
Fax Number : 910-509-1364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 04/15/2021

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Directions to “ NICOLE CARROLL MD” Practice Location

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