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Individual

ADRIAN L CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
802 E OAK ST, FORT BRANCH, IN 47648-1666
(812) 753-3942
(812) 768-6283
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 753-3942
(812) 768-6283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002691A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000359663
BCBS PIN
IN
01
000000369566
BCBS - URGENT CARE
IN
01
000000381087
BCBS PIN
IN
05
200470110
IN
05
64076037
KY
01
P00134516
RR MCARE
IN
Enumeration date
09/02/2005
Last updated
01/02/2013
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