Individual
JOHN MICHAEL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6108 GARNERS FERRY RD, COLUMBIA, SC 29209-1401
(803) 647-1265
(803) 647-1266
Mailing address
6108 GARNERS FERRY RD, COLUMBIA, SC 29209-1401
(803) 647-1265
(803) 647-1266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186872
—
SC
Enumeration date
01/23/2006
Last updated
12/14/2010
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