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NPI Code Detail

MEDICARE: DR. CLEVE CARTER III PT, DPT, MTC, C/NDT

MEDICARE: DR. CLEVE CARTER III PT, DPT, MTC, C/NDT
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
1225100000XPhysical TherapistPTH6421AL

General Provider Information

NPI Number : 1184177651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLEVE CARTER III PT, DPT, MTC, C/NDT
Provider Business Mailing Address
First Line : 445 DEXTER AVE STE 4050
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3867
Country : US
Telephone Number : 334-549-4231
Fax Number :
Provider Business Practice Location Address
First Line : 445 DEXTER AVE STE 4050
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3867
Country : US
Telephone Number : 334-549-4231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 04/14/2023

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