Individual provider · Type 1 NPI

Madeline Mae Carroll, PA-C

Medical Physician Assistant · Colonial Heights, VA

NPI number 1447007547 Active

Practice location

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990

Call (804) 520-1764 Map

Mailing address

1024 Stratem Ct
Virginia Beach, VA 23451-5977

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110010031 (VA)
Medical Physician Assistant Primary 363AM0700X0110010031 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1447007547

Madeline Mae Carroll, PA-C's National Provider Identifier is 1447007547, issued on May 6, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colonial Heights, VA. The record was last updated on Jul 9, 2024.