Carroll, Brent Timothy
Carroll, Brent Timothy is an sole proprietor health care provider with primary practice located at 410 Peachtree Pkwy Ste 4226 , Cumming GA 30041-7439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Brent Timothy can be contacted via phone (678) 341-9881.Contact Information
Primary practice address
410 Peachtree Pkwy Ste 4226
Cumming GA 30041-7439
Phone: (678) 341-9881
Fax: (678) 341-9883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 308585-1204 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 060246 | Georgia |
Profile Details
| NPI number | 1528262045 |
|---|---|
| LBN Legal business name | Carroll, Brent Timothy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Nov 15th, 2021 - about 3 years ago |
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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