Individual
MRS. JENNIFER KELLY WILLIAMS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
612 MOCKSVILLE AVE, ROWAN REGIONAL MEDICAL CENTER- NOVANT HEALTH, SALISBURY, NC 28144-8402
(704) 644-9290
Mailing address
612 MOCKSVILLE AVE, ROWAN REGIONAL MEDICAL CENTER- NOVANT HEATH, SALISBURY, NC 28144-8402
(704) 644-9290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01533
NC
Other
Enumeration date
09/29/2008
Last updated
10/10/2014
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