Robertson, Carroll Bracey

Robertson, Carroll Bracey is an sole proprietor health care provider with primary practice located at 902B Roanoke Ave , Elizabeth City NC 27909-5565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, Carroll Bracey can be contacted via phone (252) 384-0154.

Contact Information

Primary practice address
902B Roanoke Ave Elizabeth City NC 27909-5565
Phone: (252) 384-0154
Fax: (252) 335-2731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9300298 North Carolina

Profile Details

NPI number 1134154511
LBN Legal business name Robertson, Carroll Bracey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Mar 6th, 2009 - about 16 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 1134154511 NPPES
North Carolina MEDICAID 8972152

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