Provider Demographics
NPI:1700852688
Name:PIKE, CARLO L (DO)
Entity type:Individual
Prefix:DR
First Name:CARLO
Middle Name:L
Last Name:PIKE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2690 MADISON ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5975
Mailing Address - Country:US
Mailing Address - Phone:931-245-1701
Mailing Address - Fax:931-245-1720
Practice Address - Street 1:2690 MADISON ST
Practice Address - Street 2:SUITE 130
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5975
Practice Address - Country:US
Practice Address - Phone:931-245-1701
Practice Address - Fax:931-245-1720
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2016-10-18
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Provider Licenses
StateLicense IDTaxonomies
TN1638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine