Carnahan Clinic Pllc

NPI 1013039288 - Family Medicine - 207Q00000X

NPI Details
NPI 1013039288
Enumeration Date 04/06/2007
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER E WALTER
Position OWNER
Phone (662) 536-4646
Fax (662) 536-4443
Practice Location
7900 AIRWAYS BLVD BLDG A STE 6
SOUTHAVEN MS, 38671-4113, US
Phone (662) 536-4646
Fax (662) 536-4443
Business Location
7900 AIRWAYS BLVD BLDG A STE 6
SOUTHAVEN MS, 38671, US
Phone (662) 536-4646
Fax (662) 536-4443
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 16014
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According to our database, Carnahan Clinic Pllc NPI is 1013039288, taxonomy code is 207Q00000X and license number is 16014, license state is located at Mississippi. Carnahan Clinic Pllc physically located at 7900 Airways Blvd Bldg A Ste 6, Southaven MS, 38671-4113. NPI Number 1033115704 has the healthcare provider type.

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1013039288 NPI number is provided on an as is basis without warranty of any kind. 1013039288 is maintained by the National Plan & Provider Enumeration System. The contents of Carnahan Clinic Pllc are for informational purposes only.