Lookup NPI Numbers from the NPI Registry
NPI Profile for DAVID O CARABALLO in RIDGELAND, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1114253242 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 10/24/2009 | |
| Last updated | 07/17/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAVID O CARABALLO
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DAVID O CARABALLO, PA