Individual
RICHARD B CARTER JR.
Active
Individual
RICHARD B CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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