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General NPI Number Information
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NPI Number | 1790092880
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Entity Type | Organization
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Legal Business Name | MORRIS R. CARTER, JR., M.D., P.A.
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 206 S. LEMON STREET
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City | BUNNELL
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State | FL
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Zip | 32110-0943
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Country | US
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Telephone | 386-437-3341
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Fax | 386-437-1474
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Provider Business Mailing Address
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Address Line | PO BOX 943 206 S. LEMON STREET
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City | BUNNELL
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State | FL
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Zip | 32110-0943
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Country | US
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Telephone | 386-437-3341
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Fax | 386-437-1474
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Authorized Official
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Title or Position | OWNER
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Name | DR. MORRIS R. CARTER JR.
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Credential | M.D.
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Telephone | 386-437-3341
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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 | 27918
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License Number State | FL
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