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Individual
CAMERON BLAINE CARTER
Active
Individual
CAMERON BLAINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006572
GA
363A00000X
Physician Assistant
PA1921
SC
363A00000X
Physician Assistant
PA9112242
FL
Other
Enumeration date
09/05/2012
Last updated
04/29/2022
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