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SCOTT STEWART CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
33 SCENIC MEADOW DR, CARRIERE, MS 39426-8034
(601) 569-4818
Mailing address
33 SCENIC MEADOW DR, CARRIERE, MS 39426-8034
(601) 569-4818

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R780135
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02277260
MS
Enumeration date
09/08/2008
Last updated
06/03/2021
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