Individual
OLIVIA CARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
36834
TN
Other
Enumeration date
08/02/2024
Last updated
08/22/2024
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