MEDICARE: CARTER JESSE BOYD MD

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	207Q00000X	Family Medicine Physician	L-016812	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982713483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARTER JESSE BOYD MD

Provider Business Mailing Address
First Line	:	1518 DOCTORS DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-3322
Country	:	US
Telephone Number	:	318-746-1094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1518 DOCTORS DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-3322
Country	:	US
Telephone Number	:	318-746-1094
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/05/2007

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