Individual
DR. FREDERICK BARNETT CARLTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
(601) 200-5929
Mailing address
PO BOX 23457, JACKSON, MS 39225-3457
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
09092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014321
—
MS
01
—
110063827
RAILROAD MEDICARE
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
Enumeration date
07/05/2006
Last updated
01/26/2015
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