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1649381344
LISA BERTINA CARROLL
HIXSON, TN
NPI
1649381344
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Former Name
LISA BERTINA JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TN PA0000001158)
Enumeration Date
2006-08-31
Last Update Date
2012-08-31
Business Address
-- LISA BERTINA CARROLL PA C
2051 HAMILL ROAD STE 301 A
HIXSON, TN 37343
Phone number: 423-870-3376
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Mailing Address
-- LISA BERTINA CARROLL PA C
607 BARTON AVE
CHATTANOOGA, TN 37405-4301
Phone number: 801-879-1158
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