Dr. Matthew Bernard Carroll
Rheumatology
3101 Denny Ave Ste 240
Pascagoula
, Mississippi 39581-5307
Dr. Matthew Bernard Carroll
Rheumatology
3101 Denny Ave Ste 240
Pascagoula
, Mississippi 39581-5307
(228) 497-8869
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Matthew Bernard Carroll
- 2101 Highway 90
- Gautier, MS
- Zip : 39553-5340
- Fax : (228) 497-8869
- Phone : (228) 497-7576
Second Address
- Dr. Matthew Bernard Carroll
- 3101 Denny Ave Ste 240
- Pascagoula, MS
- Zip : 39581-5307
- Fax : (228) 696-9906
- Phone : (228) 696-9995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 23890 | MS |
National Provider Identifier
| NPI | 1124247341 |
|---|---|
| Provider Name | Dr. Matthew Bernard Carroll |
| First Address | Gautier, MS 39553-5340 |
| Second Address | Pascagoula, MS 39581-5307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2007 |
| Last Update Date | 09/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06688263 | (05) | 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.