MEDICARE: DR. LEE C. CARTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	16284	AL

General Provider Information

NPI Number	:	1588669048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE C. CARTER M.D.

Provider Business Mailing Address
First Line	:	2151 OLD ROCKY RIDGE RD
Second Line	:	STE 106
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-7251
Country	:	US
Telephone Number	:	205-989-1080
Fax Number	:	205-989-1087

Provider Business Practice Location Address
First Line	:	2700 HOSPITAL DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3360
Country	:	US
Telephone Number	:	205-989-1080
Fax Number	:	205-989-1087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/08/2007

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