Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 7823 | TN |
N | 1223D0001X | Dental Public Health | 442866 | TN |
NPI | 1639442916 |
---|---|
Provider Name | Dr. Sharon Lagrande Carter |
First Address | Nashville, TN 37208 |
Second Address | Nashville, TN 37208-3501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 16/02/2012 |