Individual
CODY CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 TUSCULUM BLVD, GREENEVILLE, TN 37745-4395
(423) 636-5400
Mailing address
811 OLD KENTUCKY RD W, GREENEVILLE, TN 37743-3380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5168
TN
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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