Carroll, Alicia Marie

Carroll, Alicia Marie is an sole proprietor health care provider with primary practice located at 2660 Tate Blvd Se Suite 200, Hickory NC 28602-1465. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Carroll, Alicia Marie can be contacted via phone (828) 267-2660.

Contact Information

Primary practice address
2660 Tate Blvd Se Suite 200 Hickory NC 28602-1465
Fax: (828) 267-2661
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200101318 North Carolina

Profile Details

NPI number 1457373763
LBN Legal business name Carroll, Alicia Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Sep 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457373763 NPPES
North Carolina MEDICAID 89130G1

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