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Charles C Carter Md Dph Pllc
Rural Health Clinic/Center in Altus, Oklahoma
NPI 1326095381

Charles C Carter Md Dph Pllc is a Rural Health Clinic/Center based in Altus, OK and is specialized in Rural Health. Charles C Carter Md Dph Pllc practices in Altus, OK. The NPI Number for Charles C Carter Md Dph Pllc is 1326095381 and holds a License No. 19154 (Oklahoma).

The current practice location address for Charles C Carter Md Dph Pllc is 1015 E Broadway St, Altus, OK and can be reached out via phone at 580-480-1600 and via fax at 580-480-1601.

Location: 1015 E Broadway St, Altus, OK, 73522-0575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326095381
Provider Name
Charles C Carter Md Dph Pllc
Credential
Provider Entity Type
Organization
Address
1015 E Broadway St, Altus, OK, 73522-0575
Phone Number
580-480-1600
Fax Number
580-480-1601
Provider Enumeration Date
05/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100116810E 05 OK
200113300A 05 OK
445440041004 01 OK BCBS BILLING #
19154 01 OK OK STATE LICENSE #
100116810D 05 OK
37D1053611 01 OK CLIA WAIVED
C-8500 01 AR ARKANSAS STATE LICENSE #
203705843 01 OK TRICARE/HUMANA PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1015 E Broadway St
City
Altus
State
Oklahoma
Zip
73521
Phone Number
580-480-1600
Fax Number
580-480-1601
person
Provider Business Mailing Address Details
Address
1015 E Broadway St
City
Altus
State
Oklahoma
Zip
73521
Phone Number
580-480-1600
Fax Number
580-480-1601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
19154 (Oklahoma)
Definition
Definition to come...
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