| Henry S Carter, MD LLC | |
|
305 W 7th St Suite C Deridder LA 70634-4982 | |
| (337) 463-4800 | |
| (337) 462-0067 |
| Full Name | Henry S Carter, MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 W 7th St, Deridder, Louisiana |
| Authorized Official Name and Position | Henry S Carter (OWNER) |
| Authorized Official Contact | 3374634800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry S Carter, MD LLC 305 W 7th St Suite C Deridder LA 70634-4982 Ph: (337) 463-4800 | Henry S Carter, MD LLC 305 W 7th St Suite C Deridder LA 70634-4982 Ph: (337) 463-4800 |
| NPI Number | 1841420437 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841420437 | NPI | - | NPPES |
| 1020095 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01153R (Louisiana) | Primary |
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