DR. Larry W Carruth, M.D.

NPI #1306835483 in Jackson, Tennessee

Provider Information

NPI Number: 1306835483
Entity Type: Individual
Name: DR. Larry W Carruth, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Oct 20, 2005
Last Updated: Apr 6, 2015

Practice Location

Address: 96 PHYSICIANS DR
Address 2: 96 PHYSICIANS DRIVE
City: Jackson
State: Tennessee
ZIP Code: 38305-2070
Phone: (731) 664-8771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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