NPI 1174512370

Gina Renee Carter, DO

Practitioner Family Medicine Physician Osage Beach, MO

Practice location

Address: 940 Executive Dr Lake Cboc-Va, Osage Beach, MO 65065-3497
Phone: (573) 302-7890
Fax: (573) 302-7974

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO-R1HO4 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1174512370
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2005
Record last updated: 12 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.