Individual
SHERIDAN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 STATE ROUTE 41, WEST UNION, OH 45693-8806
(937) 550-3657
Mailing address
11100 STATE ROUTE 41, WEST UNION, OH 45693-8806
(937) 550-3657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009055RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2024
Last updated
03/25/2025
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