| Mark Carroll, MD | |
|
2829 E Highway 76, Mullins, SC 29574-6035 | |
| (843) 497-5929 | |
| (843) 497-9940 |
| Full Name | Mark Carroll |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2829 E Highway 76, Mullins, 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 |
|---|---|---|---|
| 1073510954 | NPI | - | NPPES |
| N39925 | Medicaid | SC | |
| P00125463 | Other | RAILROAD MEDICARE | |
| 8921427 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 23336 (South Carolina) | Primary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | App Of South Carolina Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457878084 PECOS PAC ID: 3577821107 Enrollment ID: O20180103000650 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Carroll, MD 4615 Oleander Dr, Myrtle Beach, SC 29577-5741 Ph: (843) 497-5929 | Mark Carroll, MD 2829 E Highway 76, Mullins, SC 29574-6035 Ph: (843) 497-5929 |
Dr. Christo C Courban, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Lynn Barr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-497-5929 Fax: 843-497-9940 | |
Dr. Kenneth Carl Staples Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Stuart Alva Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-497-5929 Fax: 843-497-9940 |