MEDICARE: ADULT INTERNAL MEDICINE, PA

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	174400000X	Specialist	9601569

Other Identifiers

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

General Provider Information

NPI Number	:	1528179744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULT INTERNAL MEDICINE, PA

Provider Business Mailing Address
First Line	:	21 18TH AVE NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1822
Country	:	US
Telephone Number	:	828-267-2246
Fax Number	:	828-267-1623

Provider Business Practice Location Address
First Line	:	21 18TH AVE NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1822
Country	:	US
Telephone Number	:	828-267-2246
Fax Number	:	828-267-1623

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAWRENCE STROUD CARTER JR.
Credential	:	MD
Telephone Number	:	828-267-2246

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/01/2011

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Directions to “ADULT INTERNAL MEDICINE, PA ” Practice Location

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