Provider Demographics
NPI:1982876579
Name:CARTER, MICHAEL LEVERN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEVERN
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1060 EAGLES LANDING PKWY
Mailing Address - Street 2:STE 150
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9090
Mailing Address - Country:US
Mailing Address - Phone:770-507-2800
Mailing Address - Fax:866-829-1468
Practice Address - Street 1:1060 EAGLES LANDING PKWY
Practice Address - Street 2:STE 150
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9090
Practice Address - Country:US
Practice Address - Phone:770-507-2800
Practice Address - Fax:866-829-1468
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2022-02-24
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Provider Licenses
StateLicense IDTaxonomies
GA034119207L00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF92520Medicare UPIN