Provider Demographics
NPI:1962452250
Name:CARNEY, DAVID E (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:CARNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4750 WATERS AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6268
Mailing Address - Country:US
Mailing Address - Phone:912-350-7914
Mailing Address - Fax:912-350-7973
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-7914
Practice Address - Fax:912-350-7973
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0583992086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGPA748OtherGROUP ID SC MEDICAID
GAP00386142OtherRR MEDICARE
GA10067411OtherAMERIGROUP
GA52205984-001OtherBCBS
GACH5121OtherRR MEDICARE GROUP PIN
GA362713OtherWELLCARE
GA7703560OtherAETNA
GA944905479AMedicaid
GAGRP3905OtherMEDICARE GROUP PIN
GA00002425248 07OtherUNITED HEALTHCARE
GA9342322OtherMULTIPLAN/PHCS
SCG58399Medicaid
GA7703560OtherAETNA
GA10067411OtherAMERIGROUP
GAI09689Medicare UPIN