Individual
WILLIAM J CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 SE PADDOCK CT, BARTLESVILLE, OK 74006-7717
(919) 333-1093
Mailing address
925 SE PADDOCK CT, BARTLESVILLE, OK 74006-7717
(919) 333-1093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11195
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4102240001
PALMETTO
—
01
—
A003
TRI CARE STD
—
Enumeration date
06/13/2005
Last updated
07/09/2007
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