Carnahan Clinic PLLC
Organization Active NPI Family Medicine Physician · Southaven, MS
NPI 1013039288 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1013039288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16014 (MS)
- Legal business name
- CARNAHAN CLINIC PLLC
- Practice address
- 7900 Airways Blvd BLDG a Ste 6
Southaven, MS 38671-4113 - Phone
- (662) 536-4646
- Fax
- (662) 536-4443
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Walter E Carnahan, D.O.
- Title
- Owner
- Phone
- (662) 536-4646
National Provider Directory
Locations
7900 Airways Blvd
Bldg A6
Southaven, MS 38671
Phone (662) 470-7554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 16014 | MS | Yes |
Addresses
Primary practice location
7900 Airways Blvd BLDG a Ste 6
Southaven, MS 38671-4113
Mailing address
7900 Airways Blvd BLDG a Ste 6
Southaven, MS 38671
Phone (662) 536-4646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184602450 | Other | TAMMY FNP NPI | |
| 1174501449 | Other | DR. CARNAHAN NPI |
Other providers in Southaven, MS
- Care Clinic for Drug Addiction & Mental Health in North Mississippi
- Care Compass, LLC
- Care-a-Van Medical Transit LLC
- Carefast LLC
- Caring Hands at Home NMC
- Walter Earl Carnahan
- Donnielle Carney
- Julie J Carpenter
- Gary Dwain Carr
- Jaqueline Tolleson Carter
All providers in Southaven, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.