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NPI Profile for CARRIE A CARLISLE in JACKSON, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI Number | 1831231406 |
|
| Status | Active | |
| Credentials | RNFA | |
| Entity | Individual | |
| Enumeration date | 02/12/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARRIE A CARLISLE
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CARRIE A CARLISLE, RNFA