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Individual

DR. ELDREDGE LINUS CARROLL (JR.)

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 RISER STREET, COLUMBIA, LA 71418-0959
(318) 649-2821
(318) 649-5803
Mailing address
PO BOX 959, 123 RISER ST., COLUMBIA, LA 71418-0959
(318) 649-2821
(318) 649-5803

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
10010
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1110388
LA
Enumeration date
09/21/2006
Last updated
07/08/2007
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