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Individual

MARK R CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-A

Contact information

Practice address
927 FRANKLIN ST SE, SUITE 100, HUNTSVILLE, AL 35801-4306
(256) 536-9300
(256) 535-9032
Mailing address
PO BOX 18066, HUNTSVILLE, AL 35804-8066
(256) 536-9300
(256) 535-9032

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5798
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009801230
AL
01
51079118
BLUECROSS BLUESHIELD
AL
01
640003550
RAILROAD RETIREMENT
Enumeration date
09/29/2006
Last updated
05/20/2008
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