Individual
MR. MATTHEW CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
284 HIGHWAY 641 N, CAMDEN, TN 38320-1350
(731) 213-2446
(731) 213-2447
Mailing address
1511 HIGHWAY 69 S, PARIS, TN 38242-8636
(731) 363-9265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5090
TN
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2022
Last updated
08/24/2022
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