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Individual

CARLA SOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1235 STAGECOACH RD, MADISONVILLE, KY 42431-8021
(270) 871-5400
Mailing address
1235 STAGECOACH RD, MADISONVILLE, KY 42431-8021
(270) 871-5400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018162
KY

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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