Dr. Travis Rod Carroll
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Travis Rod Carroll, M.D. is a Dalton, Georgia based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Travis Rod Carroll is
1200 Memorial Dr, Dalton, Georgia - 30720-2529. He can be contacted on phone at
706-264-1897.
Dr. Travis Rod Carroll is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Travis Rod Carroll is
1114137551 which was assigned by NPPES on 23 May, 2007 and it was last updated on 12 Jan, 2016.
Dr. Travis Rod Carroll license number is
074111 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Georgia.
Dr. Travis Rod Carroll is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Travis Rod Carroll basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Travis Rod Carroll |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Travis Rod Carroll address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1200 Memorial Dr
Dalton, GA, 30720-2529
United States |
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| Phone Number : | 706-264-1897 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114137551 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 May, 2007 |
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| Last Updated On : | 12 Jan, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Travis Rod Carroll are as mentioned. Primary taxonomy code for Dr. Travis Rod Carroll, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | N5608 | TX |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 074111 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Travis Rod Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 213538601 | MEDICAID | TX | |
| 003161386A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2645
Dalton, GA, 30722-2645
United States |
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| Phone Number : | 706-264-1897 |
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Business Location:
Patients can refer following map for directions to
Dr. Travis Rod Carroll practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.