Carolina Iom, LLC

NPI #1023485729 in Nashville, Tennessee

Provider Information

NPI Number: 1023485729
Entity Type: Organization
Organization Name: Carolina Iom, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 28, 2015
Last Updated: Feb 22, 2017

Practice Location

Address: 1801 W END AVE
Address 2: SUITE 1610
City: Nashville
State: Tennessee
ZIP Code: 37203-2526
Phone: (615) 328-6075

Authorized Official

Name: BRIAN MCCOLLUM
Title: PRESIDENT & CEO
Phone: (877) 396-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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