Individual
ANTHONY CRAIG CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 407-5150
(270) 407-5153
Mailing address
604 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 407-5150
(270) 407-5153
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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