Individual
RICHARD B CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOSPITAL DR, SUITE 130, JEFFERSON CITY, TN 37760-5279
(865) 475-4742
(865) 262-0100
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37066301
MEDICARE LEGACY GROUP
TN
05
—
37066301
—
TN
01
—
37066303
MEDICAID LEGACY GROUP
TN
01
—
4132310
BCBS PIN
TN
Enumeration date
07/13/2007
Last updated
09/27/2012
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