Search › Illinois › 103TS0200X
Tammy Carroll
NPI 1760009955 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3801 Lake Ct
Trenton, IL 62293 - Phone
- (573) 382-0732
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-03
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 Illinois