Derrick, Caroline Grace

Derrick, Caroline Grace is an individual health care provider with primary practice located at 271 Medical Park Blvd , Bristol TN 37620-7455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Derrick, Caroline Grace can be contacted via phone (423) 274-8600.

Contact Information

Primary practice address
271 Medical Park Blvd Bristol TN 37620-7455
Phone: (423) 274-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1124637905
LBN Legal business name Derrick, Caroline Grace
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - 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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