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NPI Code Detail

MEDICARE: MATTHEW JUSTICE CARTER MD

MEDICARE: MATTHEW JUSTICE 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
1208000000XPediatrics Physician00026266AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
226266OTHERALSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235130774
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW JUSTICE CARTER MD
Provider Business Mailing Address
First Line : 2401 VILLAGE PROFESSIONAL DR S
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4702
Country : US
Telephone Number : 334-749-8121
Fax Number : 334-749-6166
Provider Business Practice Location Address
First Line : 2401 VILLAGE PROFESSIONAL DR S
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4702
Country : US
Telephone Number : 334-749-8121
Fax Number : 334-749-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/07/2023

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