MARK BLANCHARD CARROLL

WINSTON SALEM, NC
NPI1073531679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry
(Licence: NC  78859)
Enumeration Date2006-07-18
Last Update Date2012-01-24
Business Address
MARK BLANCHARD CARROLL MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
MARK BLANCHARD CARROLL MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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