Individual
MR. THOMAS WADE CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A., R.R.A.
Contact information
Practice address
305 W COURT ST, DYERSBURG, TN 38024-4644
(731) 285-2346
(731) 884-8511
Mailing address
305 W COURT ST, P.O. BOX 1296, DYERSBURG, TN 38024-4644
(731) 285-2346
(731) 884-8511
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA0000000002
TN
2471C3402X
Radiography Radiologic Technologist
1012106598
KY
2471C3402X
Radiography Radiologic Technologist
MDX0000005085
TN
Other
Enumeration date
10/24/2008
Last updated
01/30/2012
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