Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101237190 | VA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101237190 | VA |
NPI | 1023187648 |
---|---|
Provider Name | Eric W. Carson |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-7851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 30/11/2015 |