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DR. JAMES FORREST CARROLL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1780797100
Individual Registrant:DR. JAMES FORREST CARROLL M.D.
Gender: M
Sole Proprietor
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
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
Tel: 707-433-3321 Fax: 707-433-0347
Registration Information:
NPI: 1780797100
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A25507 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A25507 | CA | 05 |
