NPI 1053435776

Michael W McCarrick, MSINELEMENTARYEDU

Practitioner Other Technician Bristol, TN

Practice location

Address: 498 Industrial Drive Frontier Industries, Bristol, TN 37620
Phone: (423) 878-1639
Fax: (423) 878-1606
Mailing address: PO Box 9054, Gray, TN 37615-9054

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Tennessee →

Registry record

NPI: 1053435776
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.