Individual
NATHANIEL WILSON CARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1012 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5132
(865) 977-0112
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228106
TN
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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