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General NPI Number Information
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NPI Number | 1891754529
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Entity Type | Individual
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Provider Name | STEVEN RAY CARTER DPM
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 3160 ELM ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-2461
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Country | US
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Telephone | 770-786-0070
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Fax | 770-786-9744
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Provider Business Mailing Address
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Address Line | 175 GLENGARRY CHASE
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City | COVINGTON
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State | GA
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Zip | 30014-8919
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Country | US
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Telephone | 770-784-0761
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000747
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License Number State | GA
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