Individual provider · Type 1 NPI

Michael Clay Carroll Jr., PMHNP

Psychiatric/Mental Health Nurse Practitioner · Dublin, GA

NPI number 1750197406 Active

Practice location

2121A Bellevue Rd
Dublin, GA 31021-2998

Mailing address

303 Regency Cir
Dublin, GA 31021-4315

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN269338 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1750197406

Michael Clay Carroll Jr., PMHNP's National Provider Identifier is 1750197406, issued on Dec 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dublin, GA. The record was last updated on Dec 7, 2024.