Tamara Carroll, FNP
Nurse Practitioner, Family in Calhoun, GA. Individual provider (NPI-1).
NPI number1457873549
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1457873549
- Entity type
- Individual (NPI-1)
- Name
- Tamara Carroll
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2017
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN291788 | GA | Yes |
| 163W00000X | Registered Nurse | 197932 | TN | |
| 363LF0000X | Nurse Practitioner, Family | 22279 | TN |
Practice location
419 N Wall StCalhoun, GA 30701-1943
Phone 706-659-7664
Mailing address
419 N Wall StCalhoun, GA 30701-1943
Phone 706-659-7664
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