Individual
CAROLYN PETR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-5389
(615) 222-4075
Mailing address
4220 HARDING PIKE, NASHVILLE, TN 37205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
06/25/2023
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