Individual
JUSTIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 ARUNDEL DR, ORANGEBURG, SC 29118-1664
(803) 614-5823
Mailing address
118 ARUNDEL DR, ORANGEBURG, SC 29118-1664
(803) 614-5823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244972
SC
Other
Enumeration date
05/08/2025
Last updated
05/12/2025
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