Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 002406 | GA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 01072593A | IN |
NPI | 1194922450 |
---|---|
Provider Name | Dr. Craig Thomas Carter |
First Address | Evansville, IN 47715-8198 |
Second Address | Evansville, IN 47715-8198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 01/07/2013 |