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1649428277
DOUGLAS JOHN CARROLL
JOHNSON CITY, TN
NPI
1649428277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01521)
Enumeration Date
2008-09-08
Last Update Date
2020-06-30
Business Address
Mr. DOUGLAS JOHN CARROLL PA-C
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
Mr. DOUGLAS JOHN CARROLL PA-C
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Copy
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