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Individual

MR. ROBERT L. CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 S CHURCH ST, CHARLESTON, MS 38921-2257
(662) 647-5816
(662) 647-5705
Mailing address
PO BOX 71807, RICHMOND, VA 23255-1807
(804) 350-2889
(804) 612-5201

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19835
MS
207Q00000X
Family Medicine Physician
Primary
19835
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08476342
MS
01
19835
STATE LICENSE
MS
Enumeration date
06/28/2007
Last updated
02/13/2023
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