Carroll, Charles Wayne

Carroll, Charles Wayne is an individual health care provider with primary practice located at 1116 Highway 11 W , Church Hill TN 37642-3023. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carroll, Charles Wayne can be contacted via phone (423) 226-5109.

Contact Information

Primary practice address
1116 Highway 11 W Church Hill TN 37642-3023
Phone: (423) 226-5109
Fax: (423) 226-5150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 30647 Tennessee

Profile Details

NPI number 1043962541
LBN Legal business name Carroll, Charles Wayne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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