Individual
DR. CARLETON BRANTLEY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1030 JEFFERSON AVE, SUITE 119, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
2169 W RIVER TRACE DR, APT. #3, MEMPHIS, TN 38134-2765
(901) 379-1569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26625
TN
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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