Individual
STACI J CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 CLIFTON AVE, NASHVILLE, TN 37209-4117
(615) 320-0591
Mailing address
1571 BRIAN CT, MURFREESBORO, TN 37130-3310
(615) 556-1184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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