Provider Demographics
NPI:1356617013
Name:CARNES, BETHANY W (MD)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:W
Last Name:CARNES
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 1:740 COOL SPRINGS BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6448
Mailing Address - Country:US
Mailing Address - Phone:615-550-4030
Mailing Address - Fax:615-550-4035
Practice Address - Street 1:1370 GATEWAY BLVD
Practice Address - Street 2:STE 110
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2589
Practice Address - Country:US
Practice Address - Phone:615-890-9008
Practice Address - Fax:615-890-0193
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TN52117208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program