Carter, Richard
Carter, Richard is an individual health care provider with primary practice located at 1498 Klondike Rd Sw Suite 106, Conyers GA 30094-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carter, Richard can be contacted via phone (770) 761-7260.Contact Information
Primary practice address
1498 Klondike Rd Sw Suite 106
Conyers GA 30094-5169
Phone: (770) 761-7260
Fax: (678) 413-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 038439 | Georgia |
Profile Details
| NPI number | 1083660104 |
|---|---|
| LBN Legal business name | Carter, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 26th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083660104 | NPPES |
| Georgia | MEDICAID | 00702435C |
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