Individual
REGAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7654 FAIRWIND DR, MONTGOMERY, OH 45242-5911
(513) 609-8094
Mailing address
7654 FAIRWIND DR, MONTGOMERY, OH 45242-5911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1229586
OH
Other
Enumeration date
11/26/2024
Last updated
01/16/2025
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