Doctor Name: | MR. ROBERT LOUIS CARTER |
NPI Number: | 1154623320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN, PNP |
License Number: | 4387 |
Business Practice Address: | 1875 N Paris Ave Port Royal, SC - 299352029 |
Business Phone Number: | 8435223870 |
Business Fax Number: | 8435220691 |
Mailing Address: | 1875 N Paris Ave, PORT ROYAL |
State: | SC |
Postal Code: | 299352029 |
Phone Number: | 8435223870 |
Fax Number: | 8435220691 |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 4387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |