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Individual

DR. JAMES F CARSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9309 APISON PIKE, OOLTEWAH, TN 37363-4340
(423) 551-3562
(423) 551-3563
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036080965
IL
207Q00000X
Family Medicine Physician
Primary
63261
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0222075
BLUE CROSS GROUP NUMBER
IL
05
036080965
IL
01
K20930
MEDICARE PTAN (INDIVIDUAL)
IL
01
P00245860
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/06/2006
Last updated
09/25/2023
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