Individual
TARA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
235 DRY HOLLOW RD, ELIZABETHTON, TN 37643-5619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011965
NC
Other
Enumeration date
07/08/2019
Last updated
05/15/2025
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