Individual
MICHAEL J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
101656
NC
363A00000X
Physician Assistant
101656
NC
Other
Enumeration date
04/29/2008
Last updated
12/14/2021
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