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Individual

MARILYN Y. CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
(229) 271-4654
Mailing address
PO BOX 5007, CORDELE, GA 31010-5007
(229) 276-3100
(229) 271-4654

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037166
GA
208M00000X
Hospitalist Physician
037166
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000604139A
GA
05
000604139F
GA
05
G37166
SC
Enumeration date
09/16/2006
Last updated
01/08/2013
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