Individual
JONATHON COLLIN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CM2
Contact information
Practice address
202 S. MAIN ST., WATTS, OK 74964-0332
(918) 422-4888
(918) 422-5779
Mailing address
PO BOX 332, WATTS, OK 74964-0332
(918) 422-4888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
12/06/2016
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