Individual
LEISHA MATNEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-8380
Mailing address
231 CLEARVIEW CIR NE, CLEVELAND, TN 37323-5799
(423) 479-5346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10168
TN
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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