Individual
WALKER GRADY CARTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 HOSPITAL DR, MACON, GA 31217-3838
(478) 301-5930
(866) 508-6866
Mailing address
340 HOSPITAL DR, MACON, GA 31217-3838
(478) 301-5930
(866) 508-6866
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
046058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906958A
—
GA
01
—
260047816
RAILROAD MEDICARE
GA
Enumeration date
10/31/2006
Last updated
07/08/2014
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