LISA BERTINA CARROLL

HIXSON, TN
NPI1649381344
Former NameLISA BERTINA JONES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0009929)
Additional Taxonomies207N00000X Dermatology
(Licence: TN  PA0000001158)
Enumeration Date2006-08-31
Last Update Date2025-06-24
Business Address
LISA BERTINA CARROLL PA C
2051 HAMILL ROAD STE 301 A
HIXSON, TN 37343
Phone number: 423-870-3376
Mailing Address
LISA BERTINA CARROLL PA C
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number: 109-330-0000