Individual
JACOB C CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
935 WAYNE RD, SAVANNAH, TN 38372
(731) 926-8000
Mailing address
183 UNION AVE, JACKSON, TN 38301-6036
(731) 926-0431
(731) 541-7075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22130
TN
Other
Enumeration date
01/05/2017
Last updated
04/07/2019
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