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Individual

MR. RODNEY G. CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
190 COMMUNITY CENTER DR., SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Mailing address
190 COMMUNITY CENTER DR., SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD30020
TN
208D00000X
General Practice Physician
Primary
30020
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3079526
BLUE CROSS BLUE SHIELD
TN
05
3378953
TN
Enumeration date
08/24/2006
Last updated
11/16/2015
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