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1043849862
LUCAS CARVER
JACKSON, TN
NPI
1043849862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 67926)
Enumeration Date
2020-04-03
Last Update Date
2023-08-21
Business Address
LUCAS CARVER
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-5000
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Mailing Address
LUCAS CARVER
840 ARP CENTRAL RD
RIPLEY, TN 38063-6720
Phone number: 731-413-3207
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