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Individual
CARROLL M MCLEOD
Active
Individual
CARROLL M MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12138
MS
208VP0000X
Pain Medicine Physician
Primary
12138
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110112
—
MS
Enumeration date
01/18/2007
Last updated
08/18/2021
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