Individual
DR. BENJAMIN THOMAS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Mailing address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18204
MS
207Q00000X
Family Medicine Physician
Primary
18204
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03275847
—
MS
Enumeration date
04/05/2006
Last updated
07/09/2014
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