Individual
MS. KELLI M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1113 WASHINGTON RD, THOMSON, GA 30824-7523
(706) 595-7825
(706) 595-1235
Mailing address
3686 WHEELER RD, AUGUSTA, GA 30909
(706) 922-6300
(706) 922-6303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716757F
—
GA
05
—
000716757N
—
GA
Enumeration date
08/01/2005
Last updated
05/10/2013
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