Carson, John Glen

Carson, John Glen is an individual health care provider with primary practice located at 100 Hunters Ln , Tullahoma TN 37388-8263. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carson, John Glen can be contacted via phone (931) 455-4616.

Contact Information

Primary practice address
100 Hunters Ln Tullahoma TN 37388-8263
Phone: (931) 455-4616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15232 Tennessee

Profile Details

NPI number 1285943605
LBN Legal business name Carson, John Glen
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Apr 12th, 2019 - about 5 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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