Individual
MR. RAYMOND GALE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8000
Mailing address
7876 CROFTON FRUITHILL RD, CROFTON, KY 42217-8205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT310
KY
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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