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Individual

MS. POLLY ANN CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
2200 FORT ROOTS DR, # 704, 120/NLRVA, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2880
(501) 257-2379
Mailing address
2200 FORT ROOTS DR, # 704, 120/NLRVA, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2880
(501) 257-2379

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
47
AR

Other

Enumeration date
04/27/2008
Last updated
04/27/2008
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