Samuel Everett Carroll, MD Valid NPI

Individual provider · Family Medicine Physician · Charleston, WV

NPI

1700837473

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

19535 (WV)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-15

Last updated

2007-07-08