Provider Demographics
NPI:1962766840
Name:CARTER, CHRISTOPHER B (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 SE MOBERLY LN
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3748
Mailing Address - Country:US
Mailing Address - Phone:479-273-1550
Mailing Address - Fax:479-273-3330
Practice Address - Street 1:2900 SE MOBERLY LN
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3748
Practice Address - Country:US
Practice Address - Phone:479-273-1550
Practice Address - Fax:479-273-3330
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-9225207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine