MEDICARE: ERNEST CARTER JR. 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	174400000X	Specialist	D43490	MD
2	208D00000X	General Practice Physician	D43490	MD
3	2080N0001X	Neonatal-Perinatal Medicine Physician	D43490	MD

General Provider Information

NPI Number	:	1790707909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNEST CARTER JR. M.D.

Provider Business Mailing Address
First Line	:	1701 MCCORMICK DR
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-5329
Country	:	US
Telephone Number	:	301-883-7834
Fax Number	:	301-883-7896

Provider Business Practice Location Address
First Line	:	3003 HOSPITAL DR
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-1194
Country	:	US
Telephone Number	:	301-883-7814
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	05/27/2021

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Directions to “ ERNEST CARTER JR. M.D.” Practice Location

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