Individual
KAITLYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1131 QUEENSBOROUGH BLVD STE 101, MT PLEASANT, SC 29464-5430
(843) 972-2174
Mailing address
1131 QUEENSBOROUGH BLVD STE 101, MT PLEASANT, SC 29464-5430
(843) 972-2174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4356
SC
Other
Enumeration date
08/17/2018
Last updated
01/20/2020
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