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Individual

TAMARA CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10401 SPOTSYLVANIA AVE STE 200, FREDERICKSBURG, VA 22408-8606
(540) 842-6884
Mailing address
10401 SPOTSYLVANIA AVE STE 200, FREDERICKSBURG, VA 22408-8606
(540) 842-6884

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101268220
VA
2085R0202X
Diagnostic Radiology Physician
054897
CT
2085R0202X
Diagnostic Radiology Physician
14221319-1205
UT
2085R0202X
Diagnostic Radiology Physician
DR.0074437
CO
2085R0202X
Diagnostic Radiology Physician
MD223089
OR
2085R0202X
Diagnostic Radiology Physician
MD60382388
WA
2085R0202X
Diagnostic Radiology Physician
V5513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000254928
CO
Enumeration date
03/29/2011
Last updated
05/13/2026
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