person
Benjamin Carroll
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1093240046

Benjamin Carroll is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Benjamin Carroll practices in Jackson, MS. The NPI Number for Benjamin Carroll is 1093240046 and holds a License No. (Mississippi).

The current practice location address for Benjamin Carroll is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5705 and via fax at 601-984-4720.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1093240046
Provider Name
Benjamin Carroll
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-5705
Fax Number
601-984-4720
Provider Enumeration Date
04/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5705
Fax Number
601-984-4720
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5705
Fax Number
601-984-4720
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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