# DR. CHARLES C CARTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730129750
- **Gender:** Man
- **Credential:** MD DPH PLLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19154 | OK | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100116810D | — | OK |
| 05 | — | 10016810B | — | OK |
| 01 | — | 19154 | OK STATE LICENSE \# | OK |
| 01 | — | 300522327 | MEDICARE GROUP PTAN | OK |
| 01 | — | C-8500 | ARKANSAS STATE LICENSE \# | AR |