NPI 1003846353

Charles Shannon Carroll, DO

Practitioner Obstetrics & Gynecology Physician Flowood, MS

Practice location

Address: 291 E Layfair Dr, Flowood, MS 39232-9527
Phone: (601) 936-9190
Fax: (601) 932-6714

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 15901 (MS)

Other Obstetrics & Gynecology providers in Mississippi →

Registry record

NPI: 1003846353
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2006
Record last updated: 20 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.