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Individual
MR. QUINTON W CARROLL
Active
Individual
MR. QUINTON W CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
153426
TN
363LF0000X
Family Nurse Practitioner
Primary
14954
TN
363LP2300X
Primary Care Nurse Practitioner
14954
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519749
—
TN
Enumeration date
05/23/2007
Last updated
05/05/2017
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