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General NPI Number Information
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NPI Number | 1700348547
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Entity Type | Individual
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Provider Name | JOHN C CARTER MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 300 RAWLS DR STE 1300
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City | MCCOMB
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State | MS
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Zip | 39648-2866
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Country | US
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Telephone | 601-249-3541
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Fax | 601-249-3544
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | LIBERTY
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State | MS
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Zip | 39645-0511
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Country | US
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Telephone | 601-657-4326
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Fax | 601-657-4467
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30331
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License Number State | MS
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