Carroll, Christopher Shane

Carroll, Christopher Shane is an individual health care provider with primary practice located at 10706 Marlboro Ave. , Barnwell SC 29812-2516. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carroll, Christopher Shane can be contacted via phone (803) 259-7337.

Contact Information

Primary practice address
10706 Marlboro Ave. Barnwell SC 29812-2516
Phone: (803) 259-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20366 South Carolina

Profile Details

NPI number 1205389335
LBN Legal business name Carroll, Christopher Shane
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2016
Last updated Jan 11th, 2024 - about 2 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 1205389335 NPPES
South Carolina Other 20366 MEDICAL LICENSE
South Carolina MEDICAID NP4003 MEDICAL LICENSE

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