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Individual

JOHNNIE C. CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
135 NORTH MEADOW DRIVE, STE #A, ATHENS, TN 37303
(423) 745-9715
(423) 745-2440
Mailing address
135 NORTH MEADOW DRIVE, STE #A, ATHENS, TN 37303
(423) 745-9715
(423) 745-2440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19400
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046780
TN
01
93503
BC
TN
Enumeration date
10/06/2006
Last updated
11/30/2009
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