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DR. JAMES FORREST CARROLL M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1780797100

Individual Registrant:
DR. JAMES FORREST CARROLL M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
421 MARCH AVE STE D  HEALDSBURG, CA 95448-3367 US
Tel: 707-433-3321  Fax: 707-433-0347

Contact information for business:
421 MARCH AVE STE D  HEALDSBURG, CA 95448-3367 US
Tel: 707-433-3321  Fax: 707-433-0347

Registration Information:
NPI: 1780797100
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA25507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A25507CA05




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