Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jimmie Lee Carroll

Individual provider Occupational Therapy Assistant · NPI 1699019000

Jimmie Lee Carroll is an Occupational Therapy Assistant in Laurens, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012

Practice location Address checks out

379 Pinehaven Street Ext
Laurens, SC 29360-2672
Phone: (864) 984-6584
Fax: (864) 984-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3127 (SC)

Record details

NPI number1699019000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012

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