Provider Demographics
NPI:1831929751
Name:SINGLETON, CARSON REID
Entity type:Individual
Prefix:
First Name:CARSON
Middle Name:REID
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ST MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27249-2786
Mailing Address - Country:US
Mailing Address - Phone:336-906-8362
Mailing Address - Fax:
Practice Address - Street 1:263 RETREAT LN
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9891
Practice Address - Country:US
Practice Address - Phone:336-906-8362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program