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Individual

DR. ALAN N DECARLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 694-8018
Mailing address
9330 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4308
(865) 691-4850
(865) 694-8018

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41559
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00624906
NY
05
3001414
TN
Enumeration date
03/25/2006
Last updated
12/09/2010
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