Individual
MARSHA WREN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18476
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18476
MEDICAL LICENSE
SC
05
—
NP3939
—
SC
Enumeration date
10/14/2013
Last updated
01/11/2024
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