Provider Demographics
NPI:1396780805
Name:TOLSON, CARVILLE JOSEPH III (MD)
Entity type:Individual
Prefix:DR
First Name:CARVILLE
Middle Name:JOSEPH
Last Name:TOLSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 SCENIC VIEW DR STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-8227
Mailing Address - Country:US
Mailing Address - Phone:704-682-8188
Mailing Address - Fax:704-943-3313
Practice Address - Street 1:9 SCENIC VIEW DR STE B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-8227
Practice Address - Country:US
Practice Address - Phone:704-682-8188
Practice Address - Fax:704-943-3313
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC26060208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC83597OtherBLUECROSS BLUESHIELD
NC202597Medicare ID - Type UnspecifiedMEDICARE