Individual
DR. THOMAS IRBY CARROLL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
413A MAIN ST S, AMORY, MS 38821-4221
(662) 257-6023
Mailing address
413A MAIN ST S, AMORY, MS 38821-4221
(662) 257-6023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2465-89
MS
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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