Organization
JAMES R CARROLL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R CARROLL MD (OWNER)
(843) 431-2730
Entity
Organization
Contact information
Practice address
2845 E HIGHWAY 76, SUITE 2, MULLINS, SC 29574-6037
(843) 431-2730
(843) 431-2735
Mailing address
2845 E HIGHWAY 76, SUITE 2, MULLINS, SC 29574-6037
(843) 431-2730
(843) 431-2735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4250
—
SC
Enumeration date
05/27/2006
Last updated
11/22/2016
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