Waller, Carrie E

Waller, Carrie E is an individual health care provider with primary practice located at 2609 W Arlington Blvd Ste 106 , Greenville NC 27834-4168. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Waller, Carrie E can be contacted via phone (252) 689-6303.

Contact Information

Primary practice address
2609 W Arlington Blvd Ste 106 Greenville NC 27834-4168
Fax: (252) 689-6304
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 200401596 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200401596 North Carolina

Profile Details

NPI number 1457463861
LBN Legal business name Waller, Carrie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 27th, 2021 - about 4 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 1457463861 NPPES
North Carolina MEDICAID 5901133
North Carolina Other 139YT

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