Organization
CARROLL MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CARROLL (DIRECTOR)
(866) 203-0308
Entity
Organization
Contact information
Practice address
29520 SHELBOURNE RD, PERRYSBURG, OH 43551-3451
(866) 203-0308
Mailing address
29520 SHELBOURNE RD, PERRYSBURG, OH 43551-3451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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