Individual
DR. MATTHEW BERNARD CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 DENNY AVE STE 240, PASCAGOULA, MS 39581-5307
(228) 696-9995
(228) 696-9906
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23890
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06688263
—
MS
Enumeration date
04/25/2007
Last updated
05/02/2022
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