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Brandon Carroll

Chiropractor in Mt Pleasant, SC. Individual provider (NPI-1).

NPI number1083194195
StatusActive
Last updated in NPPESAug 17, 2018

Details

NPI
1083194195
Entity type
Individual (NPI-1)
Name
Brandon Carroll
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2018
Last updated
Aug 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4359SCYes

Practice location

1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430

Phone 843-972-3174

Mailing address

1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430

Phone 843-972-3174

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