Provider Demographics
NPI:1730113911
Name:MACLEAN, CAROL ANN (RDMS,(AB/OB) RVT(VT))
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:MACLEAN
Suffix:
Gender:F
Credentials:RDMS,(AB/OB) RVT(VT)
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RTR
Mailing Address - Street 1:101 FRIENDLY LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 FRIENDLY LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4704
Practice Address - Country:US
Practice Address - Phone:828-551-4754
Practice Address - Fax:206-203-4697
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNO STATE LICENSE2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography