Individual
MR. CARL WARREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12124 HIGHWAY 52 W STE 5, WESTMORELAND, TN 37186-3257
(615) 644-3000
(615) 644-3076
Mailing address
PO BOX 595, WESTMORELAND, TN 37186-0595
(615) 644-3000
(615) 644-3076
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373426
—
TN
01
—
4019704
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/29/2007
Last updated
08/08/2022
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