Individual
CARLTON DELK LANCASTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 REED RD STE 104, DALTON, GA 30720-6310
(706) 278-1622
(706) 272-9445
Mailing address
475 REED RD STE 104, DALTON, GA 30720-6310
(706) 278-1622
(706) 272-9445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15392
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
015392
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000153238C
—
GA
01
—
01709412
AMERIGROUP
GA
01
—
507792
WELLCARE
GA
01
—
P01091141
RR MEDICARE
GA
Enumeration date
10/26/2006
Last updated
01/25/2024
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