Carter, James Mark

Carter, James Mark is an individual health care provider with primary practice located at 1600 W C Pl , Russellville AR 72801-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carter, James Mark can be contacted via phone (479) 967-7717.

Contact Information

Primary practice address
1600 W C Pl Russellville AR 72801-2705
Phone: (479) 967-7717
Fax: (866) 280-8464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-4070 Arkansas

Profile Details

NPI number 1518923861
LBN Legal business name Carter, James Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518923861 NPPES
Arkansas MEDICAID 103847001

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