Healthcare Provider Details
I. General information
NPI: 1467841742
Provider Name (Legal Business Name): DC MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2015
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
190 W MAIN ST
CAMDEN TN
38320-1609
US
IV. Provider business mailing address
190 W MAIN ST
CAMDEN TN
38320-1609
US
V. Phone/Fax
- Phone: 731-213-2662
- Fax: 731-213-2539
- Phone: 731-213-2662
- Fax: 731-213-2539
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | 34779 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | MD0000034779 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
WILLIAM
R
CARNEY
JR.
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 615-891-0202