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Individual

MRS. TOMIA F CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCNP

Contact information

Practice address
516 N MAGNOLIA ST, LAUREL, MS 39440-3559
(601) 342-5901
Mailing address
516 N MAGNOLIA ST, LAUREL, MS 39440-3559
(601) 342-5901

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
732001
MS
363LP0200X
Pediatric Nurse Practitioner
R732001
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115862
MS
Enumeration date
05/22/2006
Last updated
03/25/2024
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