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Dr. Larry W Carruth, MD
Specialist in Jackson, Tennessee
NPI 1306835483

Larry W Carruth is a Specialist based in Jackson, TN. Larry W Carruth practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Larry W Carruth is 1306835483 and holds a License No. MD009363 (Tennessee).

The current practice location address for Larry W Carruth is 96 Physicians Dr, Jackson, TN and can be reached out via phone at 731-664-8771 and via fax at 731-660-7050.

Location: 96 Physicians Dr, Jackson, TN, 38305-2070
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Provider Profile Details
NPI Number
1306835483
Provider Name
Larry W Carruth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
96 Physicians Dr, Jackson, TN, 38305-2070
Phone Number
731-664-8771
Fax Number
731-660-7050
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
621582944 01 TN TAX ID -COMMERCIAL INS
000050023 01 TN BCBS OF TN
3170825 05 TN
institution
Provider Business Practice Location Address Details
Address
96 Physicians Dr
City
State
Zip
38305-2070
Phone Number
731-664-8771
Fax Number
731-660-7050
person
Provider Business Mailing Address Details
Address
96 Physicians Dr
City
State
Zip
38305-2070
Phone Number
731-664-8771
Fax Number
731-660-7050
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD009363 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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