Stetson Lee Carroll

NPI #1770105371 in Cumming, Georgia

Provider Information

NPI Number: 1770105371
Entity Type: Individual
Name: Stetson Lee Carroll
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 18, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 3955 COPPER LEAF LN
City: Cumming
State: Georgia
ZIP Code: 30040-4168
Phone: (775) 934-7323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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