| Organization Name: | CARTHAGE FAMILY PRACTICE SPECIALISTS, PC |
| NPI Number: | 1508871302 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COURTNEY L WEST (ADMINISTRATOR) |
| Mailing Address: | 133 Hospital Dr Suite 500 Carthage |
| State: | TN US |
| Postal Code: | 370304004 |
| Phone Number: | 6157350700 |
| Fax Number: | 6157355480 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |