Individual
CAROL SUE HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5097
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14112
TN
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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