Provider Demographics
NPI:1043279540
Name:CARTER, MARGARET TAYLOR (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:TAYLOR
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:TAYLOR
Other - Last Name:WHEAT-CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:140 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5725
Mailing Address - Country:US
Mailing Address - Phone:318-357-8194
Mailing Address - Fax:318-352-3145
Practice Address - Street 1:140 E 5TH ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5725
Practice Address - Country:US
Practice Address - Phone:318-357-8194
Practice Address - Fax:318-352-3145
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009994207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1121487Medicaid
LA1121487Medicaid
B89017Medicare UPIN
LA1508943374Medicare NSC