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Individual

MR. MARC L CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5345 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 835-0070
(614) 835-0301
Mailing address
5345 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 835-0070
(614) 835-0301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003388
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0562243
OH
Enumeration date
04/06/2006
Last updated
09/12/2013
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