person
Jennifer H Carter, PA
Medical Physician Assistant in Lugoff, South Carolina
NPI 1477658987

Jennifer H Carter is a Medical Physician Assistant based in Camden, SC and is specialized in Medical. Jennifer H Carter practices in Lugoff, SC and has the professional credentials of PA. The NPI Number for Jennifer H Carter is 1477658987 and holds a License No. 1128 (South Carolina).

The current practice location address for Jennifer H Carter is 710 Dewitt Dr, Lugoff, SC and can be reached out via phone at 803-438-7566 and via fax at 803-438-4371.

Location: 710 Dewitt Dr, Lugoff, SC, 29021-1259
person
Provider Profile Details
NPI Number
1477658987
Provider Name
Jennifer H Carter
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
710 Dewitt Dr, Lugoff, SC, 29021-1259
Phone Number
803-438-7566
Fax Number
803-438-4371
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00371643 01 SC RAILROAD MEDICARE PIN
0477PA 05 SC
192417 01 MEDCOST PIN
institution
Provider Business Practice Location Address Details
Address
710 Dewitt Dr
City
State
Zip
29078-9069
Phone Number
803-438-7566
Fax Number
803-438-4371
person
Provider Business Mailing Address Details
Address
710 Dewitt Dr
City
State
Zip
29078-9069
Phone Number
803-438-7566
Fax Number
803-438-4371
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1128 (South Carolina)
Definition
Definition to come...
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