Individual
DR. JOHN MICHAEL MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5570
(601) 815-3487
Mailing address
60 CHESTNUT DR, MADISON, MS 39110-9664
(601) 497-9232
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-1841
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01621574
—
MS
05
—
157365
—
AL
01
—
302I939853
MEDICARE PTAN
MS
01
—
P00785190
RAILROAD MEDICARE PTAN#
MS
Enumeration date
07/10/2007
Last updated
04/01/2014
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