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Individual
TAMARA CARROLL
Active
Individual
TAMARA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197932
TN
363LF0000X
Family Nurse Practitioner
22279
TN
363LF0000X
Family Nurse Practitioner
Primary
RN291788
GA
Other
Enumeration date
07/11/2017
Last updated
02/05/2020
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