Dr. Michael Patrick Carroll JR.
Family Doctor
9300 Dewitt Loop
Fort Belvoir
, Virginia 22060-5285
Dr. Michael Patrick Carroll JR.
Family Doctor
9300 Dewitt Loop
Fort Belvoir
, Virginia 22060-5285
(518) 495-6222
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Michael Patrick Carroll JR.
- 14031 Big Crest Ln Apt 406
- Woodbridge, VA
- Zip : 22191-5554
- Phone : (518) 495-6222
Second Address
- Dr. Michael Patrick Carroll JR.
- 9300 Dewitt Loop
- Fort Belvoir, VA
- Zip : 22060-5285
- Phone : (518) 495-6222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0116032611 | VA |
National Provider Identifier
| NPI | 1003474172 |
|---|---|
| Provider Name | Dr. Michael Patrick Carroll JR. |
| First Address | Woodbridge, VA 22191-5554 |
| Second Address | Fort Belvoir, VA 22060-5285 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.