Provider Demographics
NPI:1942065750
Name:CARTER'S HEALTHCARE CONSULTING GROUP
Entity Type:Organization
Organization Name:CARTER'S HEALTHCARE CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:601-218-9164
Mailing Address - Street 1:PO BOX 1863
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-7863
Mailing Address - Country:US
Mailing Address - Phone:601-218-9164
Mailing Address - Fax:
Practice Address - Street 1:4845 CANTATA DR
Practice Address - Street 2:
Practice Address - City:WALLS
Practice Address - State:MS
Practice Address - Zip Code:38680-5005
Practice Address - Country:US
Practice Address - Phone:601-218-3164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service