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Individual

MICHAEL W. CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 989-1080
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-6101
(205) 989-1080
(205) 989-1087

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-069417
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00079253
AL
01
430040315
MEDICARE RAILROAD
AL
Enumeration date
07/05/2006
Last updated
03/06/2015
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