Individual
THOMAS JONATHAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MAR RDR BN MRR MARFORSOC, CAMP LEJEUNE, NC 28542
(910) 440-2497
Mailing address
16 JULEP TRCE, HAMPSTEAD, NC 28443-4301
(843) 743-5806
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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