Individual
JACK W CAREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 BROADWAY, HARTSVILLE, TN 37074-1304
(615) 374-2101
(615) 374-4560
Mailing address
220 BROADWAY, HARTSVILLE, TN 37074-1304
(615) 374-2101
(615) 374-4560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000009615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3168871
—
TN
Enumeration date
11/20/2006
Last updated
11/01/2010
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