Brandon Carroll, | |
1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 | |
(843) 972-3174 | |
Not Available |
Full Name | Brandon Carroll |
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Gender | Male |
Speciality | Chiropractor |
Location | 1131 Queensborough Blvd Ste 101, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083194195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4359 (South Carolina) | Primary |
Provider Name | Corrective Chiropractic- Charleston Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396389060 PECOS PAC ID: 7012338114 Enrollment ID: O20200527002795 |
Provider Name | Carroll Family Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326729062 PECOS PAC ID: 8325493612 Enrollment ID: O20231005002665 |
Mailing Address | Practice Location Address |
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Brandon Carroll, 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 Ph: (843) 972-3174 | Brandon Carroll, 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 Ph: (843) 972-3174 |
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