person
Mr. Carl Warren Rose, PA-C
Medical Physician Assistant in Westmoreland, Tennessee
NPI 1740326495

Carl Warren Rose is a Medical Physician Assistant based in Westmoreland, TN and is specialized in Medical. Carl Warren Rose practices in Westmoreland, TN and has the professional credentials of PA-C. The NPI Number for Carl Warren Rose is 1740326495 and holds a License No. PA265 (Tennessee).

The current practice location address for Carl Warren Rose is 12124 Highway 52 W Ste 5, Westmoreland, TN and can be reached out via phone at 615-644-3000 and via fax at 615-644-3076.

Location: 12124 Highway 52 W Ste 5, Westmoreland, TN, 37186-0595
person
Provider Profile Details
NPI Number
1740326495
Provider Name
Carl Warren Rose
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
12124 Highway 52 W Ste 5, Westmoreland, TN, 37186-0595
Phone Number
615-644-3000
Fax Number
615-644-3076
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3373426 05 TN
4019704 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12124 Highway 52 W Ste 5
City
State
Zip
37186-3257
Phone Number
615-644-3000
Fax Number
615-644-3076
person
Provider Business Mailing Address Details
Address
12124 Highway 52 W Ste 5
City
State
Zip
37186-3257
Phone Number
615-644-3000
Fax Number
615-644-3076
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA265 (Tennessee)
Definition
Definition to come...
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