Carter, Jennifer H

Carter, Jennifer H is an individual health care provider with primary practice located at 710 Dewitt Dr , Lugoff SC 29078-9069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Carter, Jennifer H can be contacted via phone (803) 438-7566.

Contact Information

Primary practice address
710 Dewitt Dr Lugoff SC 29078-9069
Phone: (803) 438-7566
Fax: (803) 438-4371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1128 South Carolina

Profile Details

NPI number 1477658987
LBN Legal business name Carter, Jennifer H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477658987 NPPES
South Carolina Other P00371643 RAILROAD MEDICARE PIN
South Carolina MEDICAID 0477PA RAILROAD MEDICARE PIN
South Carolina Other 192417 RAILROAD MEDICARE PIN

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