Provider Demographics
NPI:1962872754
Name:CARROW, ROBERT (APN)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CARROW
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 CORPORATE CENTRE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-7428
Mailing Address - Country:US
Mailing Address - Phone:843-872-9453
Mailing Address - Fax:
Practice Address - Street 1:2050 CORPORATE CENTRE DR STE 220
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-7428
Practice Address - Country:US
Practice Address - Phone:843-945-3234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR16099600163WM0705X
NJ26NJ00595100363LF0000X
NC5019825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical