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NPI Code Detail

MEDICARE: DR. ALLEN CONNARD CARTER PHD

MEDICARE:  DR. ALLEN CONNARD CARTER  PHD
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
1103TC0700XClinical Psychologist00671GA

Other Identifiers

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

General Provider Information

NPI Number : 1609928753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLEN CONNARD CARTER PHD
Provider Business Mailing Address
First Line : 600 W PEACHTREE ST NW
Second Line : SUITE 1570
City : ATLANTA
State : GA
Zip : 30308-3607
Country : US
Telephone Number : 404-874-9207
Fax Number : 404-876-4262
Provider Business Practice Location Address
First Line : 600 W PEACHTREE ST NW
Second Line : SUITE 1570
City : ATLANTA
State : GA
Zip : 30308-3607
Country : US
Telephone Number : 404-874-9207
Fax Number : 404-876-4262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ALLEN CONNARD CARTER PHD” Practice Location

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