Carnahan Clinic Pllc | |
7900 Airways Blvd Bldg A Ste 6 Southaven MS 38671-4113 | |
(662) 536-4646 | |
(662) 536-4443 |
Full Name | Carnahan Clinic Pllc |
---|---|
Speciality | Family Medicine |
Location | 7900 Airways Blvd Bldg A Ste 6, Southaven, Mississippi |
Authorized Official Name and Position | Walter E Carnahan (OWNER) |
Authorized Official Contact | 6625364646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carnahan Clinic Pllc 7900 Airways Blvd Bldg A Ste 6 Southaven MS 38671 Ph: (662) 536-4646 | Carnahan Clinic Pllc 7900 Airways Blvd Bldg A Ste 6 Southaven MS 38671-4113 Ph: (662) 536-4646 |
NPI Number | 1013039288 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013039288 | NPI | - | NPPES |
1184602450 | Other | TAMMY FNP NPI | |
1174501449 | Other | DR. CARNAHAN NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16014 (Mississippi) | Primary |
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