Individual
MACY CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 SHOEMAKER DR, GATE CITY, VA 24251-2700
(276) 386-7002
Mailing address
1033 ALLANDALE CIR, KINGSPORT, TN 37660-9002
(423) 765-6037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001218
VA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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