Carroll, Mark Blanchard

Carroll, Mark Blanchard is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Carroll, Mark Blanchard can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address

Medical Center Blvd Winston Salem NC 27157-0001

Phone: (336) 716-2255

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry	2084P0804X	78859	North Carolina

Profile Details

NPI number	1073531679
LBN Legal business name	Carroll, Mark Blanchard
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 18th, 2006
Last updated	Jan 24th, 2012 - about 12 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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