Individual
DR. CLARE L MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34482
KY
207P00000X
Emergency Medicine Physician
Primary
53208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060164
BCBS OF KY GROUP #
KY
01
—
000000275811
BCBS OF KY GROUP NUMBER
KY
01
—
1146096
PASSPORT GROUP # 1172544
KY
01
—
50000552
PASSPORT GROUP #50000548
KY
05
—
64344823
—
KY
Enumeration date
06/14/2005
Last updated
08/27/2015
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