| Lee Marvin Carter | |
|
641 Rb Wilson Dr Huntingdon TN 38344-1733 | |
| (731) 986-7305 | |
| Not Available |
| Full Name | Lee Marvin Carter |
|---|---|
| Speciality | Family Medicine |
| Location | 641 Rb Wilson Dr, Huntingdon, Tennessee |
| Authorized Official Name and Position | Lee Marvin Carter (OWNER) |
| Authorized Official Contact | 7319867305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Marvin Carter 641 Rb Wilson Dr Huntingdon TN 38344-1733 Ph: (731) 986-7305 | Lee Marvin Carter 641 Rb Wilson Dr Huntingdon TN 38344-1733 Ph: (731) 986-7305 |
| NPI Number | 1164690178 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164690178 | NPI | - | NPPES |
| 3728752 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD023858 (Tennessee) | Primary |
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Baptist Carroll County Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 641 Rb Wilson Dr, Huntingdon, TN 38344 Phone: 731-986-4461 | |
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