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Individual

THOMAS BENCE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-5442
(334) 749-6523
(334) 742-0242
Mailing address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-5442
(334) 749-6523
(334) 742-0242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO175
AL
207RN0300X
Nephrology Physician
Primary
DO175
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366555674
NPI
AL
01
51028338
BCBS OPELIKA
AL
01
51028339
BCBS DADEVILLE
AL
01
51028340
BCBS LANGDALE
AL
01
51028341
BCBS TUSKEGEE
AL
01
51036642
BCBS LAFAYETTE
AL
05
528701590
AL
01
CC1726
RRMC
AL
Enumeration date
08/17/2006
Last updated
06/18/2010
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