Individual
MRS. TERESA KEEFAUVER CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1233 SOUTHWEST AVE. EXTENSION, JOHNSON CITY, TN 37604-6519
(423) 979-3200
(423) 979-3267
Mailing address
108 KEELAND DR, GRAY, TN 37615-4218
(423) 753-5692
(423) 753-0307
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000001191
TN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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