Individual
MR. JERRY WAYNE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2200 CALLE DE CASTELAR, NAVARRE, FL 32566-1290
(185) 093-9574
(185) 093-9574
Mailing address
2200 CALLE DE CASTELAR, NAVARRE, FL 32566-1290
(185) 093-9574
(185) 093-9574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL223
FL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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