Individual
JESSICA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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