Provider Demographics
NPI:1669562021
Name:RAWLS, CARRIE CSEKO
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:CSEKO
Last Name:RAWLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-6741
Mailing Address - Country:US
Mailing Address - Phone:252-794-5530
Mailing Address - Fax:252-794-6599
Practice Address - Street 1:202 US 13 BYPASS
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-0000
Practice Address - Country:US
Practice Address - Phone:252-794-5530
Practice Address - Fax:252-794-6599
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01190332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies