Provider Demographics
NPI:1720176530
Name:FAMILY HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:FAMILY HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-890-9016
Mailing Address - Street 1:211 HERITAGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1557
Mailing Address - Country:US
Mailing Address - Phone:615-890-9006
Mailing Address - Fax:615-890-9016
Practice Address - Street 1:211 HERITAGE PARK DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1557
Practice Address - Country:US
Practice Address - Phone:615-890-9006
Practice Address - Fax:615-890-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3387836Medicaid
TN3387836Medicaid