Carroll Rose, Md

NPI 1144580473 - Surgery - 208600000X

NPI Details
NPI 1144580473
Enumeration Date 05/21/2012
Last Updated 05/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CARROLL E. CARROLL
Position OWNER
Phone (423) 626-4288
Fax (423) 626-1101
Practice Location
1610 TAZEWELL RD
STE 301
TAZEWELL TN, 37879-3600, US
Phone (423) 626-4288
Fax (423) 626-1101
Business Location
PO BOX 1679
NEW TAZEWELL TN, 37825-1679, US
Phone (865) 670-6199
Fax (865) 670-6188
Toxanomy
Taxonomy Code 208600000X
License State
License Number
Remove 1144580473 NPI Number
 

According to our database, Carroll Rose, Md NPI is 1144580473, taxonomy code is 208600000X Carroll Rose, Md physically located at 1610 Tazewell Rd, Tazewell TN, 37879-3600. NPI Number 1033115704 has the healthcare provider type.

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1144580473 NPI number is provided on an as is basis without warranty of any kind. 1144580473 is maintained by the National Plan & Provider Enumeration System. The contents of Carroll Rose, Md are for informational purposes only.