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NPI Code Detail

MEDICARE: MR. RICHARD CARTER MD

MEDICARE: MR. RICHARD CARTER 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
1207RH0003XHematology & Oncology Physician038439GA

Other Identifiers

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

General Provider Information

NPI Number : 1083660104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD CARTER MD
Provider Business Mailing Address
First Line : 1100 JOHNSON FERRY RD NE
Second Line : SUITE 510
City : SANDY SPRINGS
State : GA
Zip : 30342-1709
Country : US
Telephone Number : 404-419-1140
Fax Number : 404-419-1164
Provider Business Practice Location Address
First Line : 1498 KLONDIKE RD SW
Second Line : SUITE 106
City : CONYERS
State : GA
Zip : 30094-5169
Country : US
Telephone Number : 770-761-7260
Fax Number : 678-413-1818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 08/26/2020

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