Individual
MICHAEL TIMOTHY CARTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 N FORK RD, MARTINSVILLE, VA 24112-1846
(276) 732-1986
Mailing address
880 N FORK RD, MARTINSVILLE, VA 24112-1846
(276) 732-1986
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705147295
VA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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