SARAH S CARLISLE
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1770933186- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2151 CENTURY LN, JOHNSON CITY, TN, 376044469
- Phone
- (423) 929-6941
- Fax
- (423) 929-6972
Specialties & Taxonomies
Dentist
License: VA #0401415236
Dentist
Primary License: TN #10462