Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY DEWITT CARNES JR., MD
ActiveAddiction Medicine (Internal Medicine) · PORTLAND, ME
Registration Details
- NPI Number
- 1215917885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.255551469652 yrs)
- Last Updated
- Apr 27, 2019
- Licenses
-
16503 (ME)16503 (ME)
Practice Information
- Address
-
17 BISHOP STPORTLAND, ME, 041032659Browse ME providers · Browse ZIP 04103
- Phone
- 2078350488
- Fax
- 2078350359
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.