Individual
MRS. SUNI HAMM CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1105 N 5TH AVE NE, ROME, GA 30165-2603
(706) 291-0884
(706) 378-8267
Mailing address
15 RIVERBEND DR SW, STE 200, ROME, GA 30161-6005
(706) 291-0884
(706) 378-8267
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN119358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766297560A
—
GA
Enumeration date
06/25/2007
Last updated
07/15/2014
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