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NPI Code Detail

MEDICARE: TARRANT MEHCOLE MCCARLEY FNP

MEDICARE: TARRANT MEHCOLE MCCARLEY FNP
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
1363LF0000XFamily Nurse PractitionerAPN0000017179TN

General Provider Information

NPI Number : 1164766937
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARRANT MEHCOLE MCCARLEY FNP
Provider Business Mailing Address
First Line : 224 OLD MILL RD
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-6221
Fax Number : 423-346-5565
Provider Business Practice Location Address
First Line : 224 OLD MILL RD
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-6221
Fax Number : 423-346-5565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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