Individual
THOMAS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5114 OLD HICKORY BLVD STE 201, HERMITAGE, TN 37076-2590
(615) 850-6960
(615) 777-3393
Mailing address
5114 OLD HICKORY BLVD STE 201, HERMITAGE, TN 37076-2590
(615) 850-6960
(615) 777-3393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4082
TN
Other
Enumeration date
09/10/2018
Last updated
06/03/2024
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