Individual
MRS. CRYSTAL GILES CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 COPPERFIELD BLVD NE, CONCORD, NC 28025-2428
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
79734
NC
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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