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Individual

STEVEN L CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
21043
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
AL36563
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000038901
BLUE CROSS
AL
05
000038901
AL
05
009933855
AL
01
040012796
RAILROAD MEDICARE
AL
01
051036612
BLUE CROSS
AL
01
051517982
BLUE CROSS
AL
01
220021164
RAILROAD MEDICARE
AL
01
F00437
VIVA
AL
01
F78133
VIVA
AL
Enumeration date
06/12/2006
Last updated
11/02/2020
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