Individual
ERIC CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
2132 ROWELL ROAD, QUANTICO, VA 22132
(571) 494-4512
Mailing address
2132 ROWELL ROAD, QUANTICO, VA 22132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD445329
PA
405300000X
Prevention Professional
Primary
MD445329
PA
Other
Enumeration date
07/03/2009
Last updated
10/16/2024
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