Individual
DR. DENVER L CARTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM DOCTOR OF PEDIAT
Contact information
Practice address
1663 SIMPSON HWY 49, STE 1, MAGEE, MS 39111
(601) 849-0444
(601) 849-0404
Mailing address
1663 SIMPSON HWY 49, STE 1, MAGEE, MS 39111
(601) 849-0444
(601) 849-0404
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80174
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05476851
—
MS
01
—
P00079556
RR MCR
—
Enumeration date
11/14/2006
Last updated
06/04/2008
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