Individual
CARSON PARKER PANOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4189 BELMONT PARK TER, NASHVILLE, TN 37215-3642
(731) 803-9344
Mailing address
4189 BELMONT PARK TER, NASHVILLE, TN 37215-3642
(731) 803-9344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2587978
—
LA
Enumeration date
04/15/2022
Last updated
07/09/2022
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