Provider Demographics
NPI:1144482993
Name:BROWN, CARLY BETH BOHRER (MD)
Entity type:Individual
Prefix:DR
First Name:CARLY
Middle Name:BETH BOHRER
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARLY
Other - Middle Name:BETH
Other - Last Name:BOHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:41 OAKLAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4821
Mailing Address - Country:US
Mailing Address - Phone:828-477-4077
Mailing Address - Fax:828-774-5952
Practice Address - Street 1:41 OAKLAND RD STE 300
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4821
Practice Address - Country:US
Practice Address - Phone:828-774-6866
Practice Address - Fax:828-774-5952
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115981207R00000X
NC2010-01341207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14R8HAOtherFLORIDA BLUE
FL14R8HAOtherFLORIDA BLUE