Organization
INDIAN LAND PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCRETIA ANN CARTER MD (OWNER)
(803) 396-1090
Entity
Organization
Contact information
Practice address
7580 CHARLOTTE HWY, SUITE 1000, FORT MILL, SC 29707-7801
(803) 396-1090
(803) 396-1091
Mailing address
7580 CHARLOTTE HWY, SUITE 1000, FORT MILL, SC 29707-7801
(803) 396-1090
(803) 396-1091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
11/27/2012
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