David Roland Carroll in Jackson - Surgery
David Roland Carroll - NPI 1679562730
David Roland Carroll is a Surgery in Jackson, Mississippi. David Roland Carroll practices all healthcare services and medical treatments related to Surgery. The NPI Number for David Roland Carroll is 1679562730. The last update date is 2014-11-18.
David Roland Carroll's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6013666606 and fax number 6013666647. The mailing address for David Roland Carroll is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Roland Carroll |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6013666606 |
| Fax Number | 6013666647 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679562730 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164643 |
| Phone Number | 6013666606 |
| Fax Number | 6013666647 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 16117 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120078 | MS | -- |
Post Comment/ Review Below
What is the David Roland Carroll's 1679562730?
The David Roland Carroll's NPI (National Provider Identifier) Number is 1679562730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Roland Carroll is physically located?
The David Roland Carroll is situated at the following address: 971 Lakeland Dr, Jackson, MS 392164643.
What is David Roland Carroll's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Roland Carroll's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did David Roland Carroll receive its 1679562730 assignment from the Centers for Medicare & Medicaid Services?
The David Roland Carroll was assigned its 1679562730 on 2005-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to David Roland Carroll most recently updated or revised?
The details related to David Roland Carroll, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-18.