Individual
MR. CLAYTON DANIEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1800 MEDICAL CENTER PKWY, SUITE 200, MURFREESBORO, TN 37129-2567
(615) 896-6800
(615) 895-8890
Mailing address
608 NORRIS AVE, NASHVILLE, TN 37204-3708
(615) 695-1432
(615) 695-1483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1037
TN
363AM0700X
Medical Physician Assistant
PA1037
TN
363AS0400X
Surgical Physician Assistant
PA1037
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508210
—
TN
Enumeration date
10/24/2005
Last updated
09/14/2016
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