Individual
MR. CAMERON L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Mailing address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
11 GA 1428
GA
243U00000X
Radiology Practitioner Assistant
Primary
CRT67489
FL
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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