MR. DOUGLAS CARROLL, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1649428277

Practice Address

2410 SUSANNAH ST
Johnson City, TN 37601

Phone: (423) 282-9011

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 3434 (TN)
Physician Assistant 363A00000X No 3434 (TN)
Physician Assistant - Surgical 363AS0400X No 3434 (TN)

Frequently Asked Questions

NPI 1649428277 is the National Provider Identifier for MR. DOUGLAS CARROLL, PA-C, a Physician Assistant - Medical provider located in Johnson City, TN. This NPI was enumerated on September 8, 2008.
MR. DOUGLAS CARROLL, PA-C practices at 2410 SUSANNAH ST, Johnson City, TN 37601.

Quick Facts

NPI
1649428277
Type
Individual
Enumerated
Sep 8, 2008
Last Updated
Sep 30, 2025

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