Individual
GREGORY DUNCAN MCCARROLL
Active
Individual
GREGORY DUNCAN MCCARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G5351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1247207-05
WELLMED MEDICAID
TX
01
—
354622YLPS
WELLMED MEDICARE
TX
Enumeration date
09/28/2006
Last updated
02/21/2018
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