Individual
MICHAEL P CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
459 HWY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-6451
Mailing address
PO BOX 14416, SAVANNAH, GA 31416-1416
(912) 355-8188
(912) 356-6970
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
017014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00179825A
—
GA
01
—
007211
BCBS
GA
05
—
705348818A
—
GA
05
—
705348818B
—
GA
Enumeration date
10/24/2005
Last updated
11/14/2007
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