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Individual

STEVEN RAY CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3160 ELM ST NE, COVINGTON, GA 30014-2461
(770) 786-0070
(770) 786-9744
Mailing address
175 GLENGARRY CHASE, COVINGTON, GA 30014-8919
(770) 784-0761

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000747
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000746611A
GA
01
000747
CHAMPUS
GA
01
2716001
UNITED HEALTHCARE
GA
01
480023108
RAILROAD MEDICARE
GA
01
52616793004
BLUE CROSS HMO MADISON OFFICE
GA
Enumeration date
03/21/2006
Last updated
05/12/2008
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