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1003846353
CHARLES SHANNON CARROLL
FLOWOOD, MS
NPI
1003846353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MS 15901)
Enumeration Date
2006-07-03
Last Update Date
2011-04-20
Business Address
Dr. CHARLES SHANNON CARROLL D.O.
291 E LAYFAIR DR
FLOWOOD, MS 39232-9527
Phone number: 601-936-9190
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Mailing Address
Dr. CHARLES SHANNON CARROLL D.O.
291 E LAYFAIR DR
FLOWOOD, MS 39232-9527
Phone number: 601-936-9190
Copy
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