MEDICARE: DR. FRANCIS C. CARTER M.D.

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
1	207Q00000X	Family Medicine Physician	0101032114	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	8647529005	OTHER	CIGNA PROVIDER NUMBER
2	203639329009	OTHER	TRICARE PROVIDER NUMBER
3	186367	OTHER	ANTHEM PROVIDER NUMBER
4	329095	OTHER	SOUTHERN HEALTH PROVIDER
5	91084	OTHER	SENTARA/OPTIMA PROVIDER N

General Provider Information

NPI Number	:	1154329779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS C. CARTER M.D.

Provider Business Mailing Address
First Line	:	1204 FENWICK DR
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-2112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280A MAIN STREET
Second Line	:
City	:	ALTAVISTA
State	:	VA
Zip	:	24517
Country	:	US
Telephone Number	:	434-309-1165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/12/2008

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