Provider Demographics
NPI:1821020587
Name:DOWLING, CARRIE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:LOUISE
Last Name:DOWLING
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 1:7140 STAGE ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8955
Mailing Address - Country:US
Mailing Address - Phone:901-377-2974
Mailing Address - Fax:901-377-2914
Practice Address - Street 1:7140 STAGE ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8955
Practice Address - Country:US
Practice Address - Phone:901-377-2974
Practice Address - Fax:901-377-2914
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000022218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF45820Medicare UPIN