Individual
HENRY BANKS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3934 WOODRUFF RD, COLUMBUS, GA 31904-6818
(706) 322-0304
(706) 327-0870
Mailing address
106 ENTERPRISE CT, SUITE A, COLUMBUS, GA 31904-9227
(706) 321-0476
(706) 321-2508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019652
GA
Other
Enumeration date
08/02/2005
Last updated
02/15/2012
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