Doctor Name: | MR. RICHARD CARTER |
NPI Number: | 1083660104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 038439 |
Business Practice Address: | 1498 Klondike Rd Sw Suite 106 Conyers, GA - 300945169 |
Business Phone Number: | 7707617260 |
Business Fax Number: | 6784131818 |
Mailing Address: | 1100 Johnson Ferry Rd Ne, Suite 510 SANDY SPRINGS |
State: | GA |
Postal Code: | 303421709 |
Phone Number: | 4044191140 |
Fax Number: | 4044191164 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 038439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |