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Individual
PHILIP JOHN CAROLIN
Active
Individual
PHILIP JOHN CAROLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07001370A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
269144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07001370A
MEDICAL LICENSE
IN
01
—
269144
MEDICAL LICENSE
KY
Enumeration date
04/04/2018
Last updated
07/14/2021
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