Individual
EMILY LUISA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4000
Mailing address
1323 ATLANTA AVE SW, CULLMAN, AL 35055-4918
(256) 727-3098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
363A00000X
Physician Assistant
Primary
PA.2320
AL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
02/06/2008
Last updated
03/07/2024
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