Individual
DR. PAUL C CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7695 POPLAR PIKE, SUITE 101, GERMANTOWN, TN 38138-5947
(901) 685-2696
Mailing address
8010 STAGE HILLS BLVD, BARTLETT, TN 38133-4032
(901) 291-2400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079148
—
TN
Enumeration date
05/24/2005
Last updated
09/08/2011
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