Individual
CARLY BROOKE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 W CALDWELL ST, MOUNT JULIET, TN 37122-2910
(615) 773-2712
Mailing address
325 WINDGROVE TER, MOUNT JULIET, TN 37122-4251
(615) 426-0380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5168
TN
Other
Enumeration date
06/14/2021
Last updated
09/13/2022
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