Individual
GUY A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N KEENE ST, SUITE 207, COLUMBIA, MO 65201-8104
(573) 219-3960
(573) 219-3964
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103638
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206670804
—
MO
01
—
222895
HEALTHLIN
MO
Enumeration date
06/01/2006
Last updated
04/28/2011
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