| Carmel Clinic Corporation | |
|
2762 Hwy 231 North Shelbyville TN 37160 | |
| (931) 680-1560 | |
| (931) 680-1561 |
| Full Name | Carmel Clinic Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2762 Hwy 231 North, Shelbyville, Tennessee |
| Authorized Official Name and Position | Muhamed Salah Faour (OWNER) |
| Authorized Official Contact | 9316801559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmel Clinic Corporation Po Box 949 Shelbyville TN 37162 Ph: (931) 680-1560 | Carmel Clinic Corporation 2762 Hwy 231 North Shelbyville TN 37160 Ph: (931) 680-1560 |
| NPI Number | 1326187980 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 6002914355 |
|---|---|
| Medicare Enrollment ID | O20070928000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326187980 | NPI | - | NPPES |
| 4143375 | Other | TN | BCBS |
| 4143376 | Other | TN | BCBS TN |
| 3370128 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37844 (Tennessee) | Primary |
| Provider Name | Muhamed Salah Faour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672507 PECOS PAC ID: 1850319948 Enrollment ID: I20051107001156 |
| Provider Name | Lacy M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457682874 PECOS PAC ID: 7719172279 Enrollment ID: I20101109001489 |
| Provider Name | Dolores M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536125 PECOS PAC ID: 0648407130 Enrollment ID: I20150311000166 |
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Digestive Healthcare Of Middle Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 Phone: 931-735-6036 Fax: 931-735-6293 | |
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