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NPI Code Detail

MEDICARE: DR. URSULA NICOLE CARTER MD

MEDICARE:  DR. URSULA NICOLE 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
1207V00000XObstetrics & Gynecology PhysicianBP30020661TX
2207V00000XObstetrics & Gynecology Physician062193GA

General Provider Information

NPI Number : 1700836574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. URSULA NICOLE CARTER MD
Provider Business Mailing Address
First Line : 3495 PIEDMONT RD NE
Second Line : NINE PIEDMONT CENTER
City : ATLANTA
State : GA
Zip : 30305-1717
Country : US
Telephone Number : 404-364-7070
Fax Number : 901-448-8015
Provider Business Practice Location Address
First Line : 3650 STEVE REYNOLDS BLVD
Second Line : KAISER PERMANENTE GWINNETT MEDICAL CENTER
City : DULUTH
State : GA
Zip : 30096-4506
Country : US
Telephone Number : 770-931-6110
Fax Number : 901-448-6657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 01/07/2022

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Directions to “ DR. URSULA NICOLE CARTER MD” Practice Location

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