Individual
DR. CHRISTIE LYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 669-3638
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORCOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A97679
CA
Other
Enumeration date
02/01/2007
Last updated
10/03/2023
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