Individual
MS. TARA P CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC/A
Contact information
Practice address
1751 CALHOUN ST, ROOM O-327, COLUMBIA, SC 29201-2606
(803) 898-0708
Mailing address
1751 CALHOUN ST, ROOM O-327, COLUMBIA, SC 29201-2606
(803) 898-0708
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2275
SC
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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