Carroll, Clinton Michael

Carroll, Clinton Michael is an individual health care provider with primary practice located at 330 23Rd Ave N Ste 450 , Nashville TN 37203-1661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Carroll, Clinton Michael can be contacted via phone (615) 342-7339.

Contact Information

Primary practice address
330 23Rd Ave N Ste 450 Nashville TN 37203-1661
Phone: (615) 342-7339
Fax: (615) 342-7340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 23733 Mississippi

Profile Details

NPI number 1215100011
LBN Legal business name Carroll, Clinton Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2008
Last updated Feb 3rd, 2022 - about 3 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 1215100011 NPPES
Tennessee MEDICAID Q051112

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