Individual
STEPHEN J KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
338 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6655
(803) 732-6644
Mailing address
338 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6655
(803) 732-6644
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
7485
SC
208200000X
Plastic Surgery Physician
7485
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074859
—
SC
01
—
7485
SC LICENSE
SC
Enumeration date
01/10/2007
Last updated
09/11/2025
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