Carroll, Paul J

Carroll, Paul J is an individual health care provider with primary practice located at 877 W Faris Rd Ste B, Greenville SC 29605-5608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Carroll, Paul J can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
877 W Faris Rd Ste B Greenville SC 29605-5608
Fax: (864) 255-5619
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 685 South Carolina

Profile Details

NPI number 1932186434
LBN Legal business name Carroll, Paul J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 20th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932186434 NPPES
South Carolina MEDICAID 0065PA

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