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Individual

ANTHONY CRAIG CARTER

Active
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Individual

ANTHONY CRAIG CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000035137
TN
207R00000X
Internal Medicine Physician
Primary
23371
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000815201
ANTHEM
KS
05
4181459
TN
05
64233711
KY
Enumeration date
02/15/2006
Last updated
07/26/2016
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