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Individual

RAPHAEL A. CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7830 PERSIMMON LAKE DR, SEYMOUR, IN 47274-7926
(812) 497-0660
(812) 358-2446
Mailing address
7830 PERSIMMON LAKE DR, SEYMOUR, IN 47274-7926
(812) 497-0660
(812) 358-2446

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01044045A
IN
207Q00000X
Family Medicine Physician
Primary
01044045A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200061980A
IN
Enumeration date
08/30/2006
Last updated
04/27/2015
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