Provider Demographics
NPI:1669456166
Name:CARNEY, MARCIA DENISE (MD)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:DENISE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4433 CORPORATION LN
Mailing Address - Street 2:SUITE 195
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3351
Mailing Address - Country:US
Mailing Address - Phone:757-227-6340
Mailing Address - Fax:757-227-6350
Practice Address - Street 1:4433 CORPORATION LN
Practice Address - Street 2:CORPORATION IV SUITE 195
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3351
Practice Address - Country:US
Practice Address - Phone:757-227-6340
Practice Address - Fax:757-227-6350
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033260207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA178282OtherANTHEM
VA96354OtherOPTIMA
VAB06518Medicare UPIN
VA178282OtherANTHEM