Individual
MR. ANTWAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1067 JOHNSON LN, VALLEY, AL 36854-5523
(312) 684-6020
Mailing address
1067 JOHNSON LN, VALLEY, AL 36854-5523
(312) 684-6020
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
07/03/2023
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