| Christopher Shane Carroll, NP-C | |
|
10706 Marlboro Ave., Barnwell, SC 29812-2516 | |
| (803) 259-7337 | |
| Not Available |
| Full Name | Christopher Shane Carroll |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 10706 Marlboro Ave., Barnwell, 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 |
|---|---|---|---|
| 1205389335 | NPI | - | NPPES |
| 20366 | Other | SC | MEDICAL LICENSE |
| NP4003 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20366 (South Carolina) | Primary |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235225608 PECOS PAC ID: 4284530940 Enrollment ID: O20160606001593 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821518556 PECOS PAC ID: 4284530940 Enrollment ID: O20181220002947 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780112912 PECOS PAC ID: 4284530940 Enrollment ID: O20190610001031 |
| Entity Name | Low Country Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306378310 PECOS PAC ID: 4284530940 Enrollment ID: O20200107003426 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Shane Carroll, NP-C 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762 | Christopher Shane Carroll, NP-C 10706 Marlboro Ave., Barnwell, SC 29812-2516 Ph: (803) 259-7337 |
Ms. Tracy Stichert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 | |
Marsha Wren Carroll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 | |
Stacy Lynn Whitworth, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 914 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-5311 Fax: 803-259-5196 | |
Amanda Beck Bucao, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 888-221-1826 | |
Mrs. Shenika Mitchell Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Wren St, Barnwell, SC 29812 Phone: 803-259-3399 | |
Mrs. Sharnte Dukes-jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3250 |