Individual
KACIE BETH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2759 S HIGHWAY 14, SUITE A, GREER, SC 29650-4926
(864) 849-9701
(864) 849-9710
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1726
SC
363LF0000X
Family Nurse Practitioner
RX1726
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA01713365
MEDICARE PIN
SC
01
—
AA01714746
MEDICARE PIN
SC
01
—
AA01717652
MEDICARE PIN
SC
05
—
NP2507
—
SC
01
—
P01548050
RAILROAD MEDICARE
SC
Enumeration date
07/16/2006
Last updated
12/09/2020
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