JELISA CARROLL

BRUNSWICK, GA
NPI1396271292
Former NameJELISA ANITA REED
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  86289)
Enumeration Date2017-05-11
Last Update Date2024-07-12
Business Address
JELISA CARROLL
2916 GLYNN AVE
BRUNSWICK, GA 31520-4844
Phone number: 912-466-5850
Mailing Address
JELISA CARROLL
2916 GLYNN AVE
BRUNSWICK, GA 31520-4844
Phone number: 921-466-5850
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