Carter, Kristine Marie

Carter, Kristine Marie is an individual health care provider with primary practice located at 1340 Broad Ave Suite 240, Gulfport MS 39501-2404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Carter, Kristine Marie can be contacted via phone (228) 575-1200.

Contact Information

Primary practice address
1340 Broad Ave Suite 240 Gulfport MS 39501-2404
Phone: (228) 575-1200
Fax: (228) 575-1205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 024139 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 19450 Mississippi

Profile Details

NPI number 1396768982
LBN Legal business name Carter, Kristine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396768982 NPPES
Mississippi MEDICAID 09684296
Mississippi MEDICAID 1572284

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