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NPI Code Detail

MEDICARE: MRS. JOAN BUTLER CARTER RN

MEDICARE: MRS. JOAN BUTLER CARTER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN0000027106TN

General Provider Information

NPI Number : 1043409949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN BUTLER CARTER RN
Provider Business Mailing Address
First Line : 1000 WASHINGTON ST W
Second Line : SUITE A
City : FAYETTEVILLE
State : TN
Zip : 37334-2872
Country : US
Telephone Number : 931-433-3231
Fax Number : 931-438-1567
Provider Business Practice Location Address
First Line : 1000 WASHINGTON ST W
Second Line : SUITE A
City : FAYETTEVILLE
State : TN
Zip : 37334-2872
Country : US
Telephone Number : 931-433-3231
Fax Number : 931-438-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 10/17/2007

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Directions to “ MRS. JOAN BUTLER CARTER RN” Practice Location

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