Organization
MIKE CARTER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL CARTER MD (OWNER)
(270) 487-6161
Entity
Organization
Contact information
Practice address
606 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 487-6161
(270) 487-8009
Mailing address
PO BOX 277, 606 N MAIN STREET, TOMPKINSVILLE, KY 42167-0277
(270) 487-6161
(270) 487-8009
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64227705
—
KY
Enumeration date
05/18/2007
Last updated
08/22/2020
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