Individual
CARSON LEE HAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 CHAPEL HILL TRL, FULTONDALE, AL 35068-6077
(931) 309-0211
Mailing address
354 CHAPEL HILL TRL, FULTONDALE, AL 35068-6077
(931) 309-0211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34060
TN
Other
Enumeration date
06/25/2021
Last updated
02/06/2024
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