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Individual

DONALD R CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
830 SOUTH GLOSTER, TUPELO, MS 38801
(662) 377-4394
(662) 377-7045
Mailing address
PO BOX 3294, TUPELO, MS 38803-3294
(662) 377-4394
(662) 377-7045

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R854876
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936464
AL
05
01454732
MS
Enumeration date
07/12/2006
Last updated
11/16/2010
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