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1306835483
LARRY W CARRUTH
JACKSON, TN
NPI
1306835483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TN MD009363)
Enumeration Date
2005-10-20
Last Update Date
2015-04-06
Business Address
Dr. LARRY W CARRUTH M.D.
96 PHYSICIANS DR 96 PHYSICIANS DRIVE
JACKSON, TN 38305-2070
Phone number: 731-664-8771
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Mailing Address
Dr. LARRY W CARRUTH M.D.
96 PHYSICIANS DR 96 PHYSICIANS DRIVE
JACKSON, TN 38305-2070
Phone number: 731-664-8771
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