Individual
JAMES L CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5533
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31001
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
14450
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31001
IA
207RP1001X
Pulmonary Disease Physician
Primary
14450
NH
207RP1001X
Pulmonary Disease Physician
31001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266916
—
IA
05
—
1016700
—
VT
05
—
30208953
—
NH
01
—
47887
WELLMARK BCBS
IA
Enumeration date
12/23/2005
Last updated
07/12/2011
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