Individual
DR. JOHN LEROY CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N DECATUR RD, SUITE 190, DECATUR, GA 30033-5949
(404) 299-9307
(404) 299-9309
Mailing address
2801 N DECATUR RD, SUITE 190, DECATUR, GA 30033-5949
(404) 299-9307
(404) 299-9309
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000450953F
—
GA
05
—
000450953G
—
GA
01
—
0528515
AETNA/USHC
GA
01
—
0702314
UNITED HEALTHCARE
GA
01
—
160040031
RAILROAD MEDICARE
GA
01
—
202I163174
MEDICARE PTAN
GA
01
—
4030696
AETNA/USHC
GA
01
—
618195
BLUE CROSS BLUE SHIELD
GA
Enumeration date
06/05/2006
Last updated
12/29/2011
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