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Individual

DR. ALAN G CARNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD034214
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005853168
VA
01
100033089
PHP TENNCARE
TN
05
1803867000
WV
01
3149322
BCBS OF TN
TN
05
3700035
TN
01
381180
ANTHEM
VA
01
4122548
AETNA
TN
05
64062060
KY
01
TN0115
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/14/2005
Last updated
05/27/2008
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