Individual
CAROL LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
247 SILVER LAKE RD, CHURCH HILL, TN 37642-3516
(423) 357-5341
(423) 357-2231
Mailing address
PO BOX 209, CHURCH HILL, TN 37642-0209
(423) 357-5341
(423) 357-2231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
82468
TN
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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