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NPI Profile for JILLIAN CARROLL in LAUREL, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1770974016 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 02/09/2015 | |
| Last updated | 01/06/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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JILLIAN CARROLL
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JILLIAN CARROLL, PA