James R Carroll Md Pa

LBN: James R Carroll Md Pa
James R Carroll Md Pa is an health care organization with primary practice located at 2845 E Highway 76 Suite 2, Mullins SC 29574-6037. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. James R Carroll Md Pa can be contacted via phone (843) 431-2730, or through Carroll, James R via phone (843) 431-2730.

Contact Information

Primary practice address
2845 E Highway 76 Suite 2 Mullins SC 29574-6037
Fax: (843) 431-2735
Website:
Authorized official contact:
Name: Carroll, James R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10340 South Carolina

Profile Details

NPI number 1457308470
LBN Legal business name James R Carroll Md Pa
DBA Doing business as
Authorized official Carroll, James R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Nov 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457308470 NPPES
South Carolina MEDICAID GP4250

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