| Doctor Name: | DR. CHAD C CARTER |
| NPI Number: | 1245213479 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 4286 |
| Business Practice Address: | 5700 Arnold St Bldg 5801 Tinker Afb, OK - 731458105 |
| Business Phone Number: | 4057362820 |
| Business Fax Number: | 4057362677 |
| Mailing Address: | 103 N Oak St, O FALLON |
| State: | IL |
| Postal Code: | 622691165 |
| Phone Number: | 6186243368 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |