Individual
JIMMY RUSSELL CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1788
(901) 747-1000
(901) 747-1001
Mailing address
7600 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1788
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000048405
TN
Other
Enumeration date
04/09/2009
Last updated
02/01/2022
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