person
Christopher Shane Carroll, NP-C
Family Nurse Practitioner in Barnwell, South Carolina
NPI 1205389335

Christopher Shane Carroll is a Family Nurse Practitioner based in Barnwell, SC and is specialized in Family. Christopher Shane Carroll practices in Barnwell, SC and has the professional credentials of NP-C. The NPI Number for Christopher Shane Carroll is 1205389335 and holds a License No. 20366 (South Carolina).

The current practice location address for Christopher Shane Carroll is 10706 Marlboro Ave., Barnwell, SC and can be reached out via phone at 803-259-7337.

Location: 10706 Marlboro Ave., Barnwell, SC, 29812-1529
person
Provider Profile Details
NPI Number
1205389335
Provider Name
Christopher Shane Carroll
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
10706 Marlboro Ave., Barnwell, SC, 29812-1529
Phone Number
803-259-7337
Fax Number
Provider Enumeration Date
07/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20366 01 SC MEDICAL LICENSE
NP4003 05 SC
institution
Provider Business Practice Location Address Details
Address
10706 Marlboro Ave.
City
State
Zip
29812-2516
Phone Number
803-259-7337
Fax Number
person
Provider Business Mailing Address Details
Address
10706 Marlboro Ave.
City
State
Zip
29812-2516
Phone Number
803-259-7337
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20366 (South Carolina)
Definition
Definition to come...
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