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Contact Information

JEFFREY W CARROLL, PA C
927 FRANKLIN ST
HUNTSVILLE, AL35801
 Phone: 256-539-2728
 Fax: 256-428-3423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEFFREY W CARROLL · (Male)

NPI # 1396704516
Status Active
Credentials PA C
Entity Individual
Enumeration date 03/18/2006
Last updated 11/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AL License # PA398
  • TN License # PA1217
  • AL Medicaid 009978285
  • AL Other 7190662 AETNA
  • AL Other 51000081 BCBS
  • AL Other 090219 UNITED HEALTHCARE
Hospital affiliation(s)
  • HUNTSVILLE HOSPITAL - (Acute Care)
    101 SIVLEY RD
    HUNTSVILLE, AL 35801
  • LINCOLN MEDICAL CENTER - (Acute Care)
    106 MEDICAL CENTER BLVD
    FAYETTEVILLE, TN 37334
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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