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Individual

DR. LOREN JAMES CARTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2193 N DECATUR RD, DECATUR, GA 30033-5307
(404) 325-5100
(404) 325-0372
Mailing address
3336 FOXFORD CT, ATLANTA, GA 30340-4442
(770) 934-3780

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014167
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000077899A
GA
01
113403704
RAILROAD MEDICARE
Enumeration date
09/16/2006
Last updated
07/08/2007
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