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DAVID R CARROLLMD PLLC NPI 1124266952


NPI Information

NPI: 1124266952
Provider Name: DAVID R CARROLL,MD, PLLC

Doing Business As: SURGICAL SPECIALIST OF JACKSON

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
971 LAKELAND DR
SUITE 656
JACKSON, MS
ZIP 39216
Phone: (601) 366-6606
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DAVID R CARROLL,MD, PLLC is a specialist in Jackson, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID R CARROLL,MD, PLLC NPI is 1124266952. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surgical Specialist Of Jackson.

The provider's business location address is:

971 LAKELAND DR
SUITE 656
JACKSON, MS
ZIP 39216-643
Phone: (601) 366-6606
Fax: (601) 366-6647

The provider's authorized official is Michelle L Campbell .
The authorized official title is Practice Administrator and has the following contact phone number (601) 366-6606.

The enumeration date for this NPI number is 2/2/2009 and was last updated on 11/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist16117MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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