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Individual

MRS. SAMANTHA POOLE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4300 W MAIN ST STE 15, DOTHAN, AL 36305-1058
(334) 944-7056
(334) 944-7063
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(334) 944-7056
(334) 944-7063

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-098886
AL

Other

Enumeration date
10/03/2014
Last updated
03/03/2021
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