Dr. Stacey B Carlton, M.D.
Family Medicine in Crossville, TN. Individual provider (NPI-1).
NPI number1619976941
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1619976941
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacey B Carlton
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25887 | TN | Yes |
Practice location
229 Interstate Dr Ste 105Crossville, TN 38555-2704
Phone 931-981-9809 · Fax 931-456-2844
Mailing address
229 Interstate DrSte 105
Crossville, TN 38555-2704
Phone 931-981-9809 · Fax 931-456-2844
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