Provider Demographics
NPI:1518165729
Name:VERRIER, CARMEL S (MD)
Entity Type:Individual
Prefix:
First Name:CARMEL
Middle Name:S
Last Name:VERRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7714 POPLAR AVE STE 200
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3941
Mailing Address - Country:US
Mailing Address - Phone:901-683-0055
Mailing Address - Fax:901-922-6722
Practice Address - Street 1:7945 WOLF RIVER BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1762
Practice Address - Country:US
Practice Address - Phone:901-683-0055
Practice Address - Fax:901-685-2969
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01155207RH0003X
MS19995207RH0003X
ARE5533207RH0003X
TN42767207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000736Medicaid
6417779OtherCIGNA
AR166058001Medicaid
AR1518165729OtherBCBS AR
MS07159049Medicaid
9370103OtherAETNA
TN4163831OtherBCBS TN
TN3000736Medicaid
6417779OtherCIGNA
AR166058001Medicaid
TN3000736Medicaid
TN3000736Medicare PIN