Organization
HARRISON C CARTER MD PC
Active
Other names
Harrison Clay Carter
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE CARTER (OFFICE MANAGER)
(912) 632-7300
Entity
Organization
Contact information
Practice address
1126 W 12TH ST, ALMA, GA 31510-1814
(912) 632-7300
(912) 632-1326
Mailing address
1126 W 12TH ST, ALMA, GA 31510-1814
(912) 632-7300
(912) 632-1326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
050575
GA
363LF0000X
Family Nurse Practitioner
RN106778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922908A
—
GA
01
—
DA3099
MEDICARE RAILROAD
GA
Enumeration date
06/29/2007
Last updated
01/07/2019
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