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Individual

CARROLL ANNE KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1211 UNION AVE, MEMPHIS, TN 38104-6638
(901) 516-7000
Mailing address
3994 ARGONNE ST, MEMPHIS, TN 38127-3906
(901) 212-3662

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
156388
TN
163W00000X
Registered Nurse
Primary
RN0000158915
TN

Other

Enumeration date
03/16/2009
Last updated
03/16/2009
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