Organization
STEPHEN J. KROLL, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J KROLL M.D. (PRESIDENT)
(803) 732-6655
Entity
Organization
Contact information
Practice address
338 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6655
Mailing address
338 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6655
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
7485
SC
208200000X
Plastic Surgery Physician
Primary
7485
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074859
—
SC
Enumeration date
06/19/2008
Last updated
06/19/2008
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