Organization
WEAKLEY COUNTY FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W CARR M.D. (OWNER, PHYSICIAN)
(731) 587-5353
Entity
Organization
Contact information
Practice address
115 MOUNT PELIA RD, MARTIN, TN 38237-3315
(731) 587-5353
(731) 588-0906
Mailing address
PO BOX 1064, MARTIN, TN 38237-1064
(731) 587-5353
(731) 588-0906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3083430
BLUE CROSS
TN
Enumeration date
01/25/2008
Last updated
02/15/2024
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