Individual
CARTER W. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14 TSIENNETO RD STE 200A, DERRY, NH 03038-1647
(866) 479-3208
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3770
(603) 669-0413
(603) 663-6350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0841
NH
363A00000X
Physician Assistant
PA3722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114165123
TRICARE
NH
05
—
30339075
—
NH
Enumeration date
01/29/2009
Last updated
10/31/2024
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