Individual
DR. GREGORY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
4261 KIMBERLY PKWY, COLUMBUS, OH 43232-7226
(614) 755-7700
(614) 755-9634
Mailing address
3696 GARDEN CT, GROVE CITY, OH 43123-2906
(614) 801-1307
(614) 277-1363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521597
—
OH
01
—
311758335
TAX I.D.
OH
Enumeration date
10/26/2006
Last updated
06/14/2012
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