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NPI Code Detail

MEDICARE: COURTNEY A CARNES P.T.

MEDICARE: COURTNEY A CARNES P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistPT4324MS
2174400000XSpecialistPT19153FL
3174400000XSpecialistPT047534LA

General Provider Information

NPI Number : 1922267558
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY A CARNES P.T.
Provider Business Mailing Address
First Line : 132 BROOKVIEW CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-7066
Country : US
Telephone Number : 615-804-6602
Fax Number :
Provider Business Practice Location Address
First Line : 4206 STAMMER PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-3302
Country : US
Telephone Number : 961-580-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 08/01/2013

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