Individual
DR. MARK ALLEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3907 JENICA WAY, LOUISVILLE, KY 40241-1530
(502) 412-2200
(502) 429-3657
Mailing address
3907 JENICA WAY, LOUISVILLE, KY 40241-1530
(502) 412-2200
(502) 429-3657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26799
KY
208D00000X
General Practice Physician
26799
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000844478
ANTHEM
KY
01
—
000001099444
ANTHEM
KY
01
—
152001
SIHO
KY
05
—
7100054880
—
KY
01
—
K087021
MEDICARE
KY
01
—
P01349710
RAILROAD MEDICARE
KY
Enumeration date
08/14/2006
Last updated
11/21/2017
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