Organization
CARTER WELLNESS SYSTEMS, PC
Active
Other names
Family Tree Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH DAN CARTER D.C. (PRESIDENT)
(405) 340-4400
Entity
Organization
Contact information
Practice address
12325 N MAY AVE, 111A, OKLAHOMA CITY, OK 73120-1962
(405) 340-4400
(405) 340-4480
Mailing address
12325 N MAY AVE, 111A, OKLAHOMA CITY, OK 73120-1962
(405) 340-4400
(405) 340-4480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3648
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442904074-001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
01/31/2007
Last updated
12/01/2011
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