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Individual

DR. DAVID ROLAND CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
971 LAKELAND DR, SUITE 656, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647
Mailing address
971 LAKELAND DR, SUITE 656, JACKSON, MS 39216-4643
(601) 366-6606
(601) 366-6647

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16117
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120078
MS
Enumeration date
10/20/2005
Last updated
11/18/2014
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