Michael Clay Carroll Jr., PMHNP
Nurse Practitioner, Psych/Mental Health in Dublin, GA. Individual provider (NPI-1).
NPI number1750197406
StatusActive
Last updated in NPPESDec 7, 2024
Details
- NPI
- 1750197406
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Clay Carroll Jr.
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2024
- Certification date
- Dec 7, 2024
- Last updated
- Dec 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN269338 | GA | Yes |
Practice location
2121a Bellevue RdDublin, GA 31021-2998
Phone 478-272-1190
Mailing address
303 Regency CirDublin, GA 31021-4315
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All 8 Psychiatric/Mental Health Nurse Practitioner providers in Dublin · All 1,309 providers in Dublin
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