Jelisa Carroll

NPI 1396271292 · on the registry since 2017

Practice

Address: 2916 Glynn Ave
Brunswick, GA 31520
Phone: (912) 466-5850
Fax: (912) 267-7139
Organisation at this address: Friedrich Medical Center P.C.
Cooperative Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia