Individual
DR. JARED BLAINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
35 REFERENDUM DR NE, BOLIVIA, NC 28422-7578
(910) 406-5100
(866) 293-0649
Mailing address
1592 GORES LANDING RD SW, OCEAN ISLE BEACH, NC 28469-6342
(910) 879-8404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16942
NC
Other
Enumeration date
12/05/2017
Last updated
03/31/2026
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