Provider Demographics
NPI:1609453927
Name:CARROLL, NATHAN ABERNATHY (DO, MBA, MPH)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ABERNATHY
Last Name:CARROLL
Suffix:
Gender:M
Credentials:DO, MBA, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:525 ROUTE 73 N STE 302
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3422
Mailing Address - Country:US
Mailing Address - Phone:833-464-6724
Mailing Address - Fax:
Practice Address - Street 1:33 NEWTON SPARTA RD STE 3
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2764
Practice Address - Country:US
Practice Address - Phone:833-494-6724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB124122002084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry