Individual
CARLY ADDISON RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6309 HIGHWAY 58, HARRISON, TN 37341-9412
(423) 352-9154
(423) 352-9155
Mailing address
6309 HIGHWAY 58, HARRISON, TN 37341-9412
(423) 352-9154
(423) 352-9155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5135
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/19/2022
Last updated
11/22/2022
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