Individual
WILLIAM LOGAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 868-6503
Mailing address
3535 BELL RD APT 203, NASHVILLE, TN 37214-4750
(270) 564-9234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237416
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3017160
KY
Other
Enumeration date
08/25/2021
Last updated
04/01/2022
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