Provider Demographics
NPI:1598759755
Name:REGISTER, CARY CHARLES (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:CARY
Middle Name:CHARLES
Last Name:REGISTER
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:621 WORTHAM CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TN
Mailing Address - Zip Code:38006-9113
Mailing Address - Country:US
Mailing Address - Phone:501-628-7270
Mailing Address - Fax:
Practice Address - Street 1:6550 CAROTHERS PKWY STE 225
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6662
Practice Address - Country:US
Practice Address - Phone:931-253-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3526363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant