Individual
JENNIFER L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9318 STATE ROUTE 14, 3RD FLOOR, STREETSBORO, OH 44241-5224
(330) 626-2710
(330) 626-5978
Mailing address
9318 STATE ROUTE 14, 3RD FLOOR, STREETSBORO, OH 44241
(330) 626-2710
(330) 626-5978
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35079394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2264946
—
OH
Enumeration date
05/23/2005
Last updated
12/18/2020
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