| Carter Family Medicine Clinic, Pllc | |
|
500 S University Ave Suite 521 Little Rock AR 72205-5302 | |
| (501) 663-9994 | |
| (501) 663-9997 |
| Full Name | Carter Family Medicine Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 S University Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Inge Renate Carter (OWNER) |
| Authorized Official Contact | 5016639994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carter Family Medicine Clinic, Pllc 500 S University Ave Suite 521 Little Rock AR 72205-5302 Ph: (501) 663-9994 | Carter Family Medicine Clinic, Pllc 500 S University Ave Suite 521 Little Rock AR 72205-5302 Ph: (501) 663-9994 |
| NPI Number | 1609058643 |
|---|---|
| Provider Enumeration Date | 12/01/2007 |
| Last Update Date | 12/01/2007 |
| Medicare PECOS PAC ID | 3779669056 |
|---|---|
| Medicare Enrollment ID | O20080326001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609058643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C7467 (Arkansas) | Primary |
| Provider Name | Inge R Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104851641 PECOS PAC ID: 8426943424 Enrollment ID: I20040218000792 |
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