Carroll, John Michael
Carroll, John Michael is an sole proprietor health care provider with primary practice located at 6108 Garners Ferry Rd , Columbia SC 29209-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carroll, John Michael can be contacted via phone (803) 647-1265.Contact Information
Primary practice address
6108 Garners Ferry Rd
Columbia SC 29209-1401
Phone: (803) 647-1265
Fax: (803) 647-1266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18687 | South Carolina |
Profile Details
| NPI number | 1669442869 |
|---|---|
| LBN Legal business name | Carroll, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Dec 14th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669442869 | NPPES |
| South Carolina | MEDICAID | 186872 |
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