Individual
GINA J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 5TH ST, LYNCHBURG, VA 24504-2848
(434) 439-2154
Mailing address
2625 CEDAR RIDGE LN, CHARLOTTESVILLE, VA 22901-9414
(434) 825-6157
(877) 974-7386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005575
VA
Other
Enumeration date
07/06/2017
Last updated
10/15/2024
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