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Individual

JANA A CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
765 FLORENCE RD, SAVANNAH, TN 38372-3451
(731) 925-2300
(731) 925-2157
Mailing address
PO BOX 655, SAVANNAH, TN 38372-0655
(731) 925-2300
(731) 925-2157

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE1443
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1503089
TN
01
4174593
BCBS TN
TN
Enumeration date
06/23/2006
Last updated
05/11/2010
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