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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP LEE CARROLL, M.D.

Active

PHILIP LEE CARROLL, M.D. is a Family Medicine healthcare provider located in JONESBORO, Georgia. NPI 1194892000 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JONESBORO, GA

Registration Details

NPI Number
1194892000
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.695509447379 yrs)
Last Updated
Apr 14, 2011
Licenses
G67893 (CA)
065662 (GA)

Practice Information

Address
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA, 30236
Browse GA providers · Browse ZIP 30236
Phone
7706033577
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in JONESBORO, GA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.