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Individual
TYSON AVERY CARTER
Active
Individual
TYSON AVERY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
05440
WI
111N00000X
Chiropractor
2301009024
MI
111N00000X
Chiropractor
Primary
7855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4755023
—
MI
01
—
950B310680
BCBS
MI
Enumeration date
09/07/2006
Last updated
12/30/2011
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