Provider Demographics
NPI:1811107121
Name:CARTER, MARLO LEE (MD)
Entity type:Individual
Prefix:DR
First Name:MARLO
Middle Name:LEE
Last Name:CARTER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1267 HIGHWAY 54 W
Mailing Address - Street 2:SUITE 3200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2114
Mailing Address - Country:US
Mailing Address - Phone:770-632-9900
Mailing Address - Fax:770-632-9997
Practice Address - Street 1:1267 HIGHWAY 54 W
Practice Address - Street 2:SUITE 3200
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-2114
Practice Address - Country:US
Practice Address - Phone:770-632-9900
Practice Address - Fax:770-632-9997
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2009-08-17
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Provider Licenses
StateLicense IDTaxonomies
GA062822207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology