Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES CARROLL IV, M.D.
Active Sole ProprietorDR. CHARLES CARROLL IV, M.D. is a Orthopaedic Surgery of the Spine healthcare provider located in MIDDLEBURG, Virginia. NPI 1689647448 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · MIDDLEBURG, VA
Registration Details
- NPI Number
- 1689647448
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.55227076014 yrs)
- Last Updated
- Dec 9, 2020
- Licenses
-
036076831 (IL)0101265204 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W MARSHALL STMIDDLEBURG, VA, 201172633Browse VA providers · Browse ZIP 20117
- Phone
- 5403268182
- Fax
- 5403268195
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
- Additional Specialty
- Orthopaedic Surgery of the Spine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.