Provider Demographics
NPI:1780349217
Name:CARNEY, EMILY SPEIGHTS
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SPEIGHTS
Last Name:CARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 KNOLL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CARRIERE
Mailing Address - State:MS
Mailing Address - Zip Code:39426-7141
Mailing Address - Country:US
Mailing Address - Phone:601-916-6335
Mailing Address - Fax:
Practice Address - Street 1:15 KNOLL CREEK DR
Practice Address - Street 2:
Practice Address - City:CARRIERE
Practice Address - State:MS
Practice Address - Zip Code:39426-7141
Practice Address - Country:US
Practice Address - Phone:601-916-6335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-31
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty