Individual
MARY MCCALLISTER CARVER
Active
Individual
MARY MCCALLISTER CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071765A
IN
208M00000X
Hospitalist Physician
7590715-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201111350
—
IN
01
—
P01214630
RR MEDICARE PTAN
IN
01
—
P01247388
RR MEDICARE PTAN
IN
Enumeration date
04/15/2008
Last updated
03/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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