Individual provider · NPI-1

Dr. Carter Owen Abbott, M.D.

Family Medicine, Adult Medicine · Omaha, NE

NPI number1891864930

StatusActive

Last updated in NPPESOct 15, 2023

Details

NPI: 1891864930
Entity type: Individual (NPI-1)
Name: Dr. Carter Owen Abbott
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Nov 6, 2006
Certification date: Oct 15, 2023
Last updated: Oct 15, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QA0505X	Family Medicine, Adult Medicine	22642	NE	Yes

Practice location

16909 Lakeside Hills Ct Ste 407
Omaha, NE 68130-4661

Phone 402-614-5556 · Fax 888-892-2149

Mailing address

16909 Lakeside Hills Ct Ste 407
Omaha, NE 68130-4661

Phone 402-614-5556 · Fax 888-892-2149

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