MEDICARE: DR. TOMMY L CARMAN DO

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
1	207R00000X	Internal Medicine Physician	0783	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1710968250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOMMY L CARMAN DO

Provider Business Mailing Address
First Line	:	29 ELLINGTON TER
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-5147
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 ELLINGTON TER
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-5147
Country	:	US
Telephone Number	:	931-624-5292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	12/31/2025

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