Dr. Timothy Dewitt Carnes JR.
Internist - Addiction Medicine
17 Bishop St
Portland
, Maine 04103-2659
Dr. Timothy Dewitt Carnes JR.
Internist - Addiction Medicine
17 Bishop St
Portland
, Maine 04103-2659
(207) 835-0359
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Timothy Dewitt Carnes JR.
- 17 Bishop St
- Portland, ME
- Zip : 04103-2659
- Fax : (207) 835-0359
- Phone : (207) 835-0488
Second Address
- Dr. Timothy Dewitt Carnes JR.
- 17 Bishop St
- Portland, ME
- Zip : 04103-2659
- Fax : (207) 835-0359
- Phone : (207) 835-0488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 16503 | ME |
National Provider Identifier
| NPI | 1215917885 |
|---|---|
| Provider Name | Dr. Timothy Dewitt Carnes JR. |
| First Address | Portland, ME 04103-2659 |
| Second Address | Portland, ME 04103-2659 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 27/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4144900099 | (05) | ME |
| I14868 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.