Doctor Name: | MRS. AMANDA E CARTER |
NPI Number: | 1609206705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1-121874 |
Business Practice Address: | 2411 S Us Highway 31 Bay Minette, AL - 365078258 |
Business Phone Number: | 2519379708 |
Business Fax Number: | |
Mailing Address: | 2411 S Us Highway 31, BAY MINETTE |
State: | AL |
Postal Code: | 365078258 |
Phone Number: | 2519379708 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 1-121874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |