Provider Information for 1811498330
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MEGHAN CARROLL
Sex: Female
NPI: 1811498330
Last Updated: 2023-09-25
Certification Date: 2023-09-25
Certification Date: 2023-09-25
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811498330 | ||||||||||||
| Enumeration Date | 2018-02-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 117 SHADY OAK LN NEW MARKET, AL 35761-9435 United States Phone: 919-219-9564 | Fax: | ||||||||||||
| Primary Practice Address | 101 LOWE AVE SE STE 2A HUNTSVILLE, AL 35801-4237 United States Phone: 256-822-2909 | Fax: | ||||||||||||
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