Individual
RICHARD S CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 W RAVINE RD, SUITE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
PO BOX 1308, KINGSPORT, TN 37662-1308
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMIN.
—
05
—
005745829
—
VA
01
—
030255
ANTHEM BCBS
—
05
—
100010846
—
TN
01
—
3046935
BS OF TN
—
05
—
3158320
—
TN
05
—
3810000411
—
WV
01
—
64916059
KY MEDICAID
KY
05
—
8905287
—
NC
01
—
TN0100
JOHN DEERE
—
Enumeration date
07/20/2005
Last updated
09/11/2013
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