Individual
CARTER JESSE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
Mailing address
1518 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-1094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L-016812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345784
—
LA
Enumeration date
08/29/2006
Last updated
09/05/2007
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