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Contact Information

CARL B ROUNTREE JR, MD
5875 BREMO RD
SUITE 303
RICHMOND, VA23226-1934
 Phone: 804-893-8610
 Fax: 804-287-7285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARL B ROUNTREE JR · (Male)

NPI Number 1821291303
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2007
Last updated 06/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD431447
  • VA License # 0101251638
  • PA Other MD431447 MEDICAL LICENSE
  • VA Other C06778 GROUP PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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