Individual
DR. CARROLL WOMACK DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6194
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2782-94
MS
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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