Individual
JEFF CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CARROLL LN, PAMPLIN, VA 23958-2145
(434) 248-6910
(434) 248-6910
Mailing address
200 CARROLL LN, PAMPLIN, VA 23958-2145
(434) 248-6910
(434) 248-6910
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705 108547A
VA
Other
Enumeration date
03/04/2012
Last updated
03/04/2012
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