MEDICARE: DR. JAMES TERRANCE CARSON M.D. MPH

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	207X00000X	Orthopaedic Surgery Physician	D0096427	MD
2	207X00000X	Orthopaedic Surgery Physician	R4019	TX

General Provider Information

NPI Number	:	1780978775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES TERRANCE CARSON M.D. MPH

Provider Business Mailing Address
First Line	:	130 HOSPITAL RD STE 102
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4029
Country	:	US
Telephone Number	:	410-846-8800
Fax Number	:	410-469-1724

Provider Business Practice Location Address
First Line	:	130 HOSPITAL RD STE 102
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4029
Country	:	US
Telephone Number	:	410-846-8800
Fax Number	:	410-469-1724

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	01/19/2026

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