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Mr. Jonathan David Carroll, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1548471956

Jonathan David Carroll is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Jonathan David Carroll practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Jonathan David Carroll is 1548471956 and holds a License No. MD.203223 (Mississippi).

The current practice location address for Jonathan David Carroll is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5452 and via fax at 601-815-3322.

Location: 2500 N State St, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548471956
Provider Name
Jonathan David Carroll
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-5452
Fax Number
601-815-3322
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06027230 05 MS
09978 05 LA
P01816798 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5452
Fax Number
601-815-3322
person
Provider Business Mailing Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5452
Fax Number
601-815-3322
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
24140 (Mississippi)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.203223 (Louisiana)
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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