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Carla South
Family Nurse Practitioner in Madisonville, Kentucky
NPI 1518694249

Carla South is a Family Nurse Practitioner based in Madisonville, KY and is specialized in Family. Carla South practices in Madisonville, KY. The NPI Number for Carla South is 1518694249 and holds a License No. 3018162 (Kentucky).

The current practice location address for Carla South is 1235 Stagecoach Rd, Madisonville, KY and can be reached out via phone at 270-871-5400.

Location: 1235 Stagecoach Rd, Madisonville, KY, 42431-8021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518694249
Provider Name
Carla South
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Stagecoach Rd, Madisonville, KY, 42431-8021
Phone Number
270-871-5400
Fax Number
Provider Enumeration Date
08/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1235 Stagecoach Rd
City
Madisonville
State
Kentucky
Zip
42431-8021
Phone Number
270-871-5400
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Stagecoach Rd
City
Madisonville
State
Kentucky
Zip
42431-8021
Phone Number
270-871-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3018162 (Kentucky)
Definition
Definition to come...
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