Organization
THE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYBLE S CARTER FNP (OWNER)
(731) 286-0490
Entity
Organization
Contact information
Practice address
520 E PARKVIEW ST, DYERSBURG, TN 38024-3114
(731) 286-0490
(731) 286-0469
Mailing address
520 E PARKVIEW ST, DYERSBURG, TN 38024-3114
(731) 286-0490
(731) 286-0469
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 5212
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3499880
—
TN
01
—
DG3551
RAILROAD MEDICARE
TN
Enumeration date
03/06/2007
Last updated
04/07/2008
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