| Doctor Name: | DR. MARK ALLEN CARTER |
| NPI Number: | 1083627632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 26799 |
| Business Practice Address: | 3907 Jenica Way Louisville, KY - 402411530 |
| Business Phone Number: | 5024122200 |
| Business Fax Number: | 5024293657 |
| Mailing Address: | 3907 Jenica Way, LOUISVILLE |
| State: | KY |
| Postal Code: | 402411530 |
| Phone Number: | 5024122200 |
| Fax Number: | 5024293657 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26799 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |