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Organization
CARTHAGE FAMILY PRACTICE SPECIALISTS, PC
Active
Organization
CARTHAGE FAMILY PRACTICE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY L WEST (ADMINISTRATOR)
(615) 735-5401
Entity
Organization
Contact information
Practice address
133 HOSPITAL DR, SUITE 500, CARTHAGE, TN 37030-4004
(615) 735-0700
(615) 735-5480
Mailing address
PO BOX 176, CARTHAGE, TN 37030-0176
(615) 735-0700
(615) 735-5480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3389733
—
TN
Enumeration date
07/30/2006
Last updated
04/02/2014
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