# CARTHAGE FAMILY PRACTICE SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508871302
- **Authorized official:** MRS. COURTNEY L WEST (ADMINISTRATOR)
- **Authorized official phone:** (615) 735-5401

## Contact information

- **Practice address:** 133 HOSPITAL DR, SUITE 500, CARTHAGE, TN 37030-4004
- **Practice address phone:** (615) 735-0700
- **Practice address fax:** (615) 735-5480
- **Mailing address:** PO BOX 176, CARTHAGE, TN 37030-0176
- **Mailing address phone:** (615) 735-0700
- **Mailing address fax:** (615) 735-5480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 04/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3389733 | — | TN |