Individual
MRS. CAROLYN ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1869 HIGHWAY 45 BYP, SUITE 5, JACKSON, TN 38305-2464
(469) 547-3233
(731) 668-0380
Mailing address
1869 HIGHWAY 45 BYP, SUITE 5, JACKSON, TN 38305-2464
(469) 547-3233
(731) 668-0380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45266
TN
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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