Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 023784 | TN |
N | 207RA0201X | Internist - Allergy & Immunology | 23784 | TN |
NPI | 1710972872 |
---|---|
Provider Name | Dr. Paul Michael Carter |
First Address | Englewood, CO 80112-4747 |
Second Address | Knoxville, TN 37922-9489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 11/02/2015 |