| Doctor Name: | MRS. SUNI HAMM CARROLL |
| NPI Number: | 1033315122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN119358 |
| Business Practice Address: | 1105 N 5th Ave Ne Rome, GA - 301652603 |
| Business Phone Number: | 7062910884 |
| Business Fax Number: | 7063788267 |
| Mailing Address: | 15 Riverbend Dr Sw, Ste 200 ROME |
| State: | GA |
| Postal Code: | 301616005 |
| Phone Number: | 7062910884 |
| Fax Number: | 7063788267 |
| NPI Enumeration Date: | 06/25/2007 |
| NPI Last Update Date: | 07/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | RN119358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |