Antique, Maria Caroline

Antique, Maria Caroline is an individual health care provider with primary practice located at 560 Mccellan Road , Jackson TN 38305. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Antique, Maria Caroline can be contacted via phone (731) 234-5717.

Contact Information

Primary practice address
560 Mccellan Road Jackson TN 38305
Phone: (731) 234-5717
Fax: (423) 979-6333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35423 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD35423 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35423 Tennessee

Profile Details

NPI number 1245278415
LBN Legal business name Antique, Maria Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245278415 NPPES
Tennessee Other 3893940 MEDICARE
Tennessee MEDICAID 3893940 MEDICARE
Tennessee Other 4105658 MEDICARE

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