Provider Demographics
NPI:1629465281
Name:CARTER, HELEN PRUITT (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:PRUITT
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:FAY
Other - Last Name:PRUITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:825 2ND AVE STE B3
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1790
Mailing Address - Country:US
Mailing Address - Phone:270-901-0629
Mailing Address - Fax:270-901-0892
Practice Address - Street 1:825 2ND AVE STE B3
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1790
Practice Address - Country:US
Practice Address - Phone:270-901-0629
Practice Address - Fax:270-901-0892
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY52737208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics