Dr. Charles Shannon Carroll
Obstetrician & Gynecologist
291 E Layfair Dr
Flowood
, Mississippi 39232-9527
Dr. Charles Shannon Carroll
Obstetrician & Gynecologist
291 E Layfair Dr
Flowood
, Mississippi 39232-9527
(601) 932-6714
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Charles Shannon Carroll
- 291 E Layfair Dr
- Flowood, MS
- Zip : 39232-9527
- Fax : (601) 932-6714
- Phone : (601) 936-9190
Second Address
- Dr. Charles Shannon Carroll
- 291 E Layfair Dr
- Flowood, MS
- Zip : 39232-9527
- Fax : (601) 932-6714
- Phone : (601) 936-9190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 15901 | MS |
National Provider Identifier
| NPI | 1003846353 |
|---|---|
| Provider Name | Dr. Charles Shannon Carroll |
| First Address | Flowood, MS 39232-9527 |
| Second Address | Flowood, MS 39232-9527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 20/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00120136 | (05) | MS |
| G80419 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.