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Individual

CARL E WINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
345 23RD AVE N, SUITE 209, NASHVILLE, TN 37203-1513
(615) 329-5060
(615) 329-2423
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18157
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6067355
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/24/2005
Last updated
05/10/2017
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