NPI | 1730503723 |
---|---|
Former Legal Business Name | MICHELLE MCCARROLL, LLC |
Entity Type | Organization |
Authorized Contact | MICHELLE MCCARROLL Owner 610-841-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC003851L) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2020-08-18 |