Carroll, Clayton Daniel

Carroll, Clayton Daniel is an individual health care provider with primary practice located at 1800 Medical Center Pkwy Suite 200, Murfreesboro TN 37129-2567. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Carroll, Clayton Daniel can be contacted via phone (615) 896-6800.

Contact Information

Primary practice address
1800 Medical Center Pkwy Suite 200 Murfreesboro TN 37129-2567
Phone: (615) 896-6800
Fax: (615) 895-8890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1037 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1037 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1037 Tennessee

Profile Details

NPI number 1255321048
LBN Legal business name Carroll, Clayton Daniel
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Sep 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255321048 NPPES
Tennessee MEDICAID 1508210

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