Individual
JILL D MCCARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BUILDING 52 LAKE DRIVE, VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684-0699
(423) 439-8000
(423) 439-2200
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37604-6062
(423) 439-8000
(423) 439-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M1231
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
43599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001464
—
TN
Enumeration date
06/30/2006
Last updated
03/06/2013
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