Individual
CLEO CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
6295 OLD CANTON RD APT 5A, JACKSON, MS 39211-2933
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65072
TN
Other
Enumeration date
04/12/2018
Last updated
08/12/2022
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