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
Fax: (843) 669-0161
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972626224 NPPES
South Carolina MEDICAID Z-12424

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