Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 7548 | AL |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | DO284 | AL |
NPI | 1659379733 |
---|---|
Provider Name | Dr. J. Markus Carter |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 03/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000005540 | (05) | AL |
00124833 | (05) | MS |
009988135 | (05) | AL |
0117089 | (05) | MS |
051005540 | BLUE CROSS (01) | AL |
G02753 | (02) |