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Individual

DOUGLAS CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 392-3211
(317) 398-1851
Mailing address
1626 E STATE ROAD 44, SUITE B, SHELBYVILLE, IN 46176-4057
(317) 421-2012
(317) 398-1851

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027741A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100224750A
IN
Enumeration date
06/14/2006
Last updated
10/14/2011
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