Individual
MICHAEL MCCARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2017
(434) 924-9400
(434) 982-1618
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101275069
VA
2085R0202X
Diagnostic Radiology Physician
S0018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427165201
—
TX
Enumeration date
04/19/2017
Last updated
07/08/2022
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