Provider Demographics
NPI:1235114893
Name:ORQUIA, CARL M (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:M
Last Name:ORQUIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6401 MOUNTAIN VIEW RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6685
Mailing Address - Country:US
Mailing Address - Phone:423-495-5951
Mailing Address - Fax:423-495-5999
Practice Address - Street 1:6401 MOUNTAIN VIEW ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-6685
Practice Address - Country:US
Practice Address - Phone:423-495-5951
Practice Address - Fax:423-495-5999
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2010-06-03
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Provider Licenses
StateLicense IDTaxonomies
TN31253207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3840204Medicare ID - Type Unspecified