Healthcare Provider Details

I. General information

NPI: 1700367091
Provider Name (Legal Business Name): CYNTHIA HINSON CARROLL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 TENNESSEE AVE S
PARSONS TN
38363-2524
US

IV. Provider business mailing address

110 MYRICK DR
SAVANNAH TN
38372-6639
US

V. Phone/Fax

Practice location:
  • Phone: 731-798-7100
  • Fax: 731-847-4511
Mailing address:
  • Phone: 731-798-7100
  • Fax: 731-847-4511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24579
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: