Individual
ADDISON MAE CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5800 PARK CENTER CT STE C, TOLEDO, OH 43615-0710
(419) 724-8368
(419) 724-8375
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
(419) 479-5593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465500
—
OH
Enumeration date
09/23/2021
Last updated
11/19/2025
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