Player, Tommy Carroll
Player, Tommy Carroll is an sole proprietor health care provider with primary practice located at 614 W Palmetto St , Florence SC 29501-4302. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Player, Tommy Carroll can be contacted via phone (843) 669-5687.Contact Information
Primary practice address
614 W Palmetto St
Florence SC 29501-4302
Phone: (843) 669-5687
Fax: (843) 669-0161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | SC1242 | South Carolina |
Profile Details
NPI number | 1972626224 |
---|---|
LBN Legal business name | Player, Tommy Carroll |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1972626224 | NPPES |
South Carolina | MEDICAID | Z-12424 |
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