Individual
HARRY A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
Mailing address
2074 BOBWHITE RD, LOUISVILLE, IL 62858-2032
(618) 599-6926
(618) 665-4591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096820
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057125
—
IL
Enumeration date
06/27/2005
Last updated
03/05/2024
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