Healthcare Provider Details

I. General information

NPI: 1710281365
Provider Name (Legal Business Name): MICHAEL F CARTER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 GLENEAGLES DRIVE
HUNTSVILLE AL
35801
US

IV. Provider business mailing address

1102 GLENEAGLES DRIVE
HUNTSVILLE AL
35801
US

V. Phone/Fax

Practice location:
  • Phone: 256-881-5880
  • Fax: 256-883-6280
Mailing address:
  • Phone: 256-881-5880
  • Fax: 256-883-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21997
License Number StateAL

VIII. Authorized Official

Name: MICHAEL CARTER
Title or Position: PRESIDENT
Credential:
Phone: 256-881-5880