Most Relevant Information
Provider Data
| NPI Number: | 1003595232 |
| Provider Name: | TAYLOR MARIE CARPENTER MS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2023 |
| Last Updated: | 07/14/2023 |
Provider Practice Location
7714 CONNER RD STE 105
POWELL
TN
378493559
Practice Location Phone/Fax
| Phone: | 8659476220 |
| Fax: | 8655121069 |
Provider Mailing Location
1923 SULPHUR SPRINGS RD
MORRISTOWN
TN
378135654
Provider Mailing Phone/Fax
| Phone: | 4233179344 |
| Fax: | 4237142355 |