Provider Demographics
NPI:1205818606
Name:KARRIKER, CHARLOTTE K (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:K
Last Name:KARRIKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-6901
Mailing Address - Fax:704-384-6902
Practice Address - Street 1:1401 MATTHEWS TOWNSHIP PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28105
Practice Address - Country:US
Practice Address - Phone:704-384-6901
Practice Address - Fax:704-384-6902
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600025207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN00027Medicaid
NC891042RMedicaid
NC891042RMedicaid
NC2236034AMedicare ID - Type Unspecified