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NPI Code Detail

MEDICARE: PATRICIA H MCCARTHY P.A.

MEDICARE: PATRICIA H MCCARTHY P.A.
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
1363A00000XPhysician Assistant201TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24040458OTHERTNBCBSTN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275625899
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA H MCCARTHY P.A.
Provider Business Mailing Address
First Line : 854 W JAMES CAMPBELL BLVD
Second Line : SUITE 303
City : COLUMBIA
State : TN
Zip : 38401-4659
Country : US
Telephone Number : 931-540-4255
Fax Number : 931-490-4654
Provider Business Practice Location Address
First Line : 200 S CROSS BRIDGES RD
Second Line :
City : MT PLEASANT
State : TN
Zip : 38474-1714
Country : US
Telephone Number : 931-379-5821
Fax Number : 931-379-5867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 04/04/2008

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1891887659 — ROBERT A BAIN M.D.
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1487749446 — KELLY J SNYDER M.D.
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MT PLEASANT, TN
38474-1714
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1518143122 — DANA J CHANDLER DO
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1861639031 — REBECCA HELEN SMITH MD
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1073156410 — MAURY REGIONAL HOSPITAL
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