Individual
JILLIAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1002 JEFFERSON ST, SUITE 400, LAUREL, MS 39440-4306
(601) 649-7802
(601) 428-7841
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 649-7802
(601) 428-7841
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MS
Other
Enumeration date
02/09/2015
Last updated
01/06/2020
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