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NPI Code Detail

MEDICARE: ERIC MCCARROLL

MEDICARE: ERIC MCCARROLL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerS 0030499OH

General Provider Information

NPI Number : 1740641554
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MCCARROLL
Provider Business Mailing Address
First Line : 765 PIERCE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2425
Country : US
Telephone Number : 614-223-1650
Fax Number :
Provider Business Practice Location Address
First Line : 765 PIERCE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2425
Country : US
Telephone Number : 614-223-1650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2016
Last Update Date : 03/08/2016

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Directions to “ ERIC MCCARROLL ” Practice Location

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