Provider Demographics
NPI:1700896446
Name:WHEELER, CARROLL RAY (MD)
Entity type:Individual
Prefix:DR
First Name:CARROLL
Middle Name:RAY
Last Name:WHEELER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:313 ITALY ST NE
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-2431
Mailing Address - Country:US
Mailing Address - Phone:828-437-7085
Mailing Address - Fax:
Practice Address - Street 1:1000 S STERLING ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3938
Practice Address - Country:US
Practice Address - Phone:828-433-2421
Practice Address - Fax:828-433-2242
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC99007222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE58200Medicare UPIN