| Organization Name: | JAMES E CARTER, IV, DMD, PC |
| NPI Number: | 1104173798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENEE E WALKER (OFFICE MANAGER) |
| Mailing Address: | 4520 Nelson Brogdon Blvd Buford |
| State: | GA US |
| Postal Code: | 305183478 |
| Phone Number: | 7709452119 |
| Fax Number: | 7709450979 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DN010592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |