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Individual

DR. OTHA BURNETT CARTER JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 W 3RD AVE, SUITE 400, ALBANY, GA 31701-1941
(229) 883-6311
(229) 883-6315
Mailing address
425 W 3RD AVE, SUITE 400, ALBANY, GA 31701-1941
(229) 883-6311
(229) 883-6315

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11848
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008709B
GA
Enumeration date
12/29/2005
Last updated
07/08/2007
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