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Individual

JESSICA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
169 ASHLEY AVE, MAIN HOSPTIAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-4638
Mailing address
169 ASHLEY AVE, MAIN HOSPTIAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-4638

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017-00277
NC
208600000X
Surgery Physician
LL34608
SC

Other

Enumeration date
06/06/2012
Last updated
09/29/2020
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