Individual
MICHELLE CAROLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 WAYLAND SMITH DRIVE, UNIONTOWN, PA 15401
(724) 437-9854
(724) 437-8305
Mailing address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058413
PA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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