NPI 1124401948 · live from the CMS NPI Registry
Devin Christopher Carroll, DPM
Podiatrist, Foot & Ankle Surgery in Suffolk, VA. National Provider Identifier 1124401948, active.
NPI record
| NPI | 1124401948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5835 Harbour View Blvd Ste A, Suffolk, VA 23435 |
| Practice phone | 757-384-6617 |
| Mailing address | 171 N Main St, Suffolk, VA 23434 |
| Enumerated | June 30, 2015 |
| Last updated | January 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103301236 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.