MR. Prentiss Bernard Carter III, MD

NPI #1992808489 in Peoria, Illinois

Provider Information

NPI Number: 1992808489
Entity Type: Individual
Name: MR. Prentiss Bernard Carter III, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Sep 7, 2006
Last Updated: Aug 29, 2011

Practice Location

Address: 5401 N KNOXVILLE AVE
Address 2: SUITE 308
City: Peoria
State: Illinois
ZIP Code: 61614-5098
Phone: (309) 692-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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