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Individual

MR. RICHARD CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1498 KLONDIKE RD SW, SUITE 106, CONYERS, GA 30094-5169
(770) 761-7260
(678) 413-1818
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 510, SANDY SPRINGS, GA 30342-1709
(404) 419-1140
(404) 419-1164

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
038439
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00702435C
GA
Enumeration date
05/26/2006
Last updated
08/26/2020
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