Carthage Family Practice Specialists, PC
Organization Active NPI Family Medicine Physician · Carthage, TN
NPI 1508871302 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1508871302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CARTHAGE FAMILY PRACTICE SPECIALISTS, PC
- Practice address
- 133 Hospital Dr
Suite 500
Carthage, TN 37030-4004 - Phone
- (615) 735-0700
- Fax
- (615) 735-5480
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Courtney L West
- Title
- Administrator
- Phone
- (615) 735-5401
Practitioners 1
-
Peter F Alfano, PA
National Provider Directory
Locations
130 Lebanon Hwy
Ste B
Carthage, TN 37030
Phone (615) 735-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
133 Hospital Dr
Suite 500
Carthage, TN 37030-4004
Mailing address
PO Box 176
Carthage, TN 37030-0176
Phone (615) 735-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3389733 | Medicaid | TN |
Other providers in Carthage, TN
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- Ashlyn Elizabeth Carter
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- Carthage Opco LLC
- Chance Enterprises, Inc.
- Gena Ann Clemons
- Community Medical Clinic, Inc.
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All providers in Carthage, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. 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.