Carroll, Brenda Ann

Carroll, Brenda Ann is an sole proprietor health care provider with primary practice located at 643 Highway 1 S , Lugoff SC 29078-9174. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Carroll, Brenda Ann can be contacted via phone (928) 750-2891.

Contact Information

Primary practice address
643 Highway 1 S Lugoff SC 29078-9174
Phone: (928) 750-2891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 053433 Georgia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 41749 Arizona
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 15060 South Carolina

Profile Details

NPI number 1396739595
LBN Legal business name Carroll, Brenda Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jul 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396739595 NPPES
Georgia MEDICAID 893096988A
Georgia Other 52053633

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