Provider Demographics
NPI:1427276070
Name:CARP, JANIE GILES (MS, ATR-BC)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:GILES
Last Name:CARP
Suffix:
Gender:F
Credentials:MS, ATR-BC
Other - Prefix:
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Mailing Address - Street 1:111 UNION FORT DRIVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38304
Mailing Address - Country:US
Mailing Address - Phone:731-668-5189
Mailing Address - Fax:731-668-1666
Practice Address - Street 1:1119 OLD HUMBOLDT ROAD
Practice Address - Street 2:THE STAR CENTER
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305
Practice Address - Country:US
Practice Address - Phone:731-668-3888
Practice Address - Fax:731-668-1666
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist