Organization
HENRY S CARTER, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY S CARTER M.D. (OWNER)
(337) 463-4800
Entity
Organization
Contact information
Practice address
305 W 7TH ST, SUITE C, DERIDDER, LA 70634-4982
(337) 463-4800
(337) 462-0067
Mailing address
305 W 7TH ST, SUITE C, DERIDDER, LA 70634-4982
(337) 463-4800
(337) 462-0067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01153R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020095
—
LA
Enumeration date
07/17/2009
Last updated
07/17/2009
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