| Doctor Name: | DR. CLINTON A CARTER |
| NPI Number: | 1215902655 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036695 |
| Business Practice Address: | 900 Ashwood Pkwy Suite 850 Atlanta, GA - 303386999 |
| Business Phone Number: | 6784203234 |
| Business Fax Number: | 7702944890 |
| Mailing Address: | 205 Fiddlers Rdg, FAYETTEVILLE |
| State: | GA |
| Postal Code: | 302142685 |
| Phone Number: | |
| Fax Number: | 7707192590 |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 11/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 036695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |