| Prof Brian D Carroll, | |
|
1909 W Coolidge Ave, Marion, IL 62959-1097 | |
| (618) 997-5677 | |
| Not Available |
| Full Name | Prof Brian D Carroll |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1909 W Coolidge Ave, Marion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558789479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164003714 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 2014006008 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Prof Brian D Carroll, 1718 Winery Rd, West Frankfort, IL 62896-4907 Ph: (618) 727-0523 | Prof Brian D Carroll, 1909 W Coolidge Ave, Marion, IL 62959-1097 Ph: (618) 997-5677 |
Joel Hamilton, MS, PHD, RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 270-444-8465 | |
Mrs. Loran Mary Morris, M.S., R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Bldg. 38, Rm 217, Marion, IL 62959 Phone: 618-615-6501 | |
Alyssa Jordan Solomon, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Jacob Dust, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Mr. Derek Scott Utley, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Kathy Kemper Stanczyk, PHD, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 270-970-1811 | |
Lindsey D Millar, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 217-621-9799 |