Charles Shannon Carroll in Flowood - Obstetrics & Gynecology

Charles Shannon Carroll - NPI 1003846353

Charles Shannon Carroll is a Obstetrics & Gynecology in Flowood, Mississippi. Charles Shannon Carroll practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Charles Shannon Carroll is 1003846353. The last update date is 2011-04-20.

Charles Shannon Carroll's current location address is 291 E Layfair Dr, Flowood, Mississippi. You can contact this provider via phone number 6019369190 and fax number 6019326714. The mailing address for Charles Shannon Carroll is 291 E Layfair Dr, Flowood, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Shannon Carroll
Address 291 E Layfair Dr, Flowood, Mississippi
Phone Number 6019369190
Fax Number 6019326714
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1003846353
Provider Enumeration Date 2006-07-03
Last Updated Date 2011-04-20

Provider Mailing Address Detail

Address 291 E Layfair Dr
City Flowood
State Mississippi (MS)
Post Code 392329527
Phone Number 6019369190
Fax Number 6019326714

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 15901
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
120136 MS --

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FAQs about Charles Shannon Carroll

What is the unique 10-digit identification code issued to Charles Shannon Carroll by the Centers for Medicare & Medicaid Services?

The Charles Shannon Carroll has been assigned the NPI (National Provider Identifier) 1003846353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Charles Shannon Carroll's physical address?

The Charles Shannon Carroll is physically located at 291 E Layfair Dr, in the city of Flowood, MS, with the postal code 392329527.

What is Charles Shannon Carroll's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles Shannon Carroll is Obstetrics & Gynecology, and the corresponding taxonomy classification code for this specialized field is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003846353 to Charles Shannon Carroll?

The Charles Shannon Carroll received its 1003846353 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date were the details related to Charles Shannon Carroll most recently updated or revised?

The information pertaining to Charles Shannon Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-20.

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