Provider Demographics
NPI:1386656262
Name:CARTER, RHONDA LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LEIGH
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22266 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-8618
Mailing Address - Country:US
Mailing Address - Phone:205-669-3138
Mailing Address - Fax:205-669-8187
Practice Address - Street 1:22266 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:AL
Practice Address - Zip Code:35051-8618
Practice Address - Country:US
Practice Address - Phone:205-669-3138
Practice Address - Fax:205-669-8187
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22402207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G99811Medicare UPIN
AL08477Medicare ID - Type Unspecified
G99811Medicare UPIN