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Individual
MICHAEL J CARROLL
Active
Individual
MICHAEL J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
101656
NC
363A00000X
Physician Assistant
101656
NC
Other
Enumeration date
04/29/2008
Last updated
12/14/2021
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