Individual
SAMUEL DAVID CARTER
Active
Individual
SAMUEL DAVID CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42798
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000624609
ANTHEM - NOTC
KY
01
—
000023036R
HUMANA - NOTC
KY
01
—
00533152
MEDICARE - KY - NOTC
KY
01
—
106460
SIHO - NOTC
KY
05
—
1750422069
—
VA
05
—
200958310
—
IN
01
—
50025281
PASSPORT - NOTC
KY
05
—
7100078110
—
KY
Enumeration date
02/09/2007
Last updated
10/13/2020
Update your record
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