Provider Demographics
NPI:1598153371
Name:KROLL CARE, PC
Entity Type:Organization
Organization Name:KROLL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KROLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-242-3301
Mailing Address - Street 1:290 HERITAGE WALK
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-6402
Mailing Address - Country:US
Mailing Address - Phone:678-273-3456
Mailing Address - Fax:404-596-5333
Practice Address - Street 1:290 HERITAGE WALK
Practice Address - Street 2:SUITE 102
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6402
Practice Address - Country:US
Practice Address - Phone:678-273-3456
Practice Address - Fax:404-596-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty