Individual
DAVID CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 532780, ATLANTA, GA 30353-2780
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765003
BLUE CROSS
GA
01
—
G16322
SOUTH CAROLINA MEDICAID
SC
Enumeration date
06/23/2006
Last updated
07/08/2007
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