Individual
TODD CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 COLLEGE AVENUE, CONWAY, AR 72034
(501) 513-5793
(501) 513-5870
Mailing address
2302 COLLEGE AVENUE, CONWAY, AR 72034
(501) 513-5793
(501) 513-5870
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
E0651
AR
207P00000X
Emergency Medicine Physician
Primary
E0651
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130031001
—
AR
01
—
5J955
BCBS
AR
Enumeration date
06/23/2006
Last updated
07/09/2009
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