Individual
MR. JUSTIN TAYLOR CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-109170
AL
Other
Enumeration date
11/01/2013
Last updated
11/04/2013
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