person
Dustin J Carter, MPAS,PA-C
Medical Physician Assistant in Vidalia, Georgia
NPI 1982698361

Dustin J Carter is a Medical Physician Assistant based in Vidalia, GA and is specialized in Medical. Dustin J Carter practices in Vidalia, GA and has the professional credentials of MPAS,PA-C. The NPI Number for Dustin J Carter is 1982698361 and holds a License No. 003872 (Georgia).

The current practice location address for Dustin J Carter is 200 Maple Dr, Vidalia, GA and can be reached out via phone at 912-537-9851 and via fax at 912-537-9843.

Location: 200 Maple Dr, Vidalia, GA, 30474-8907
person
Provider Profile Details
NPI Number
1982698361
Provider Name
Dustin J Carter
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Maple Dr, Vidalia, GA, 30474-8907
Phone Number
912-537-9851
Fax Number
912-537-9843
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
683347114A 05 GA
581356947 01 GA PRACTICE FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
200 Maple Dr
City
State
Zip
30474-8907
Phone Number
912-537-9851
Fax Number
912-537-9843
person
Provider Business Mailing Address Details
Address
200 Maple Dr
City
State
Zip
30474-8907
Phone Number
912-537-9851
Fax Number
912-537-9843
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003872 (Georgia)
Definition
Definition to come...
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