MEDICARE: DR. NANCY O'NEIL 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	208000000X	Pediatrics Physician	015246	LA

General Provider Information

NPI Number	:	1447541321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY O'NEIL CARTER M.D.

Provider Business Mailing Address
First Line	:	11 DOGWOOD LN
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70435-9526
Country	:	US
Telephone Number	:	985-893-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 DOGWOOD LN
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70435-9526
Country	:	US
Telephone Number	:	985-893-0068
Fax Number	:

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

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	04/26/2011

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