Individual
DR. STACEY B CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
229 INTERSTATE DR STE 105, CROSSVILLE, TN 38555-2704
(931) 981-9809
(931) 456-2844
Mailing address
229 INTERSTATE DR, STE 105, CROSSVILLE, TN 38555-2704
(931) 981-9809
(931) 456-2844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3849058
—
TN
Enumeration date
07/19/2005
Last updated
11/08/2024
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