Individual
ELISA M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 PLANK BRIDGE RD, CAMDEN, NC 27921
(252) 331-1829
(252) 331-2916
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0110001676
VA
363AM0700X
Medical Physician Assistant
Primary
0110001676
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010385407
—
VA
Enumeration date
08/05/2006
Last updated
11/19/2020
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