Organization
DAVID R CARROLL,MD, PLLC
Active
Other names
Surgical Specialist of Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L CAMPBELL (PRACTICE ADMINISTRATOR)
(601) 366-6606
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, SUITE 656, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647
Mailing address
971 LAKELAND DR, SUITE 656, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16117
MS
Other
Enumeration date
02/02/2009
Last updated
11/18/2014
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