Individual
CARRIE BETH CLARK DUNCANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
502 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5907
(865) 981-8289
Mailing address
742 CAMBRIDGE CREST LN, KNOXVILLE, TN 37919-2041
(865) 228-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000001080
TN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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