Organization
LINUS CARROLL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDREDGE LINUS CARROLL JR. MD (PHYSICIAN)
(318) 953-3443
Entity
Organization
Contact information
Practice address
1102 NORTH PINE RD, HARDTNER MEDICAL CENTER, OLLA, LA 71465
(318) 495-3131
(318) 495-3229
Mailing address
PO BOX 959, LINUS CARROLL MEDICAL CORPORATION, COLUMBIA, LA 71418
(318) 495-3131
(318) 495-3229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110388
—
LA
Enumeration date
02/08/2010
Last updated
02/08/2010
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