Provider Demographics
NPI:1346988953
Name:CARTER B INVESTMENTS LLC
Entity Type:Organization
Organization Name:CARTER B INVESTMENTS LLC
Other - Org Name:FYP HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:423-782-9266
Mailing Address - Street 1:7062 CARTERS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHURCH HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37642-6320
Mailing Address - Country:US
Mailing Address - Phone:423-782-9266
Mailing Address - Fax:
Practice Address - Street 1:3101 W MARKET ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-9349
Practice Address - Country:US
Practice Address - Phone:423-212-3273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ026873Medicaid