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Individual

DR. BRENT TIMOTHY CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
410 PEACHTREE PKWY STE 4226, CUMMING, GA 30041-7439
(678) 341-9881
(678) 341-9883
Mailing address
410 PEACHTREE PKWY STE 4226, CUMMING, GA 30041-7439
(678) 341-9881
(678) 341-9883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060246
GA
207Q00000X
Family Medicine Physician
308585-1204
UT

Other

Enumeration date
06/11/2007
Last updated
11/15/2021
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