Individual
EBONI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1211 UNION AVE STE 300, MEMPHIS, TN 38104-6655
(901) 272-6018
(901) 201-4203
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
03/19/2026
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