Individual
MR. LAVIETTE T CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 TILLMAN ST STE 108, MEMPHIS, TN 38111-2727
(901) 907-0154
(901) 907-0154
Mailing address
80 TILLMAN ST STE 108, MEMPHIS, TN 38111-2727
(901) 907-0154
(901) 907-0214
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
TN
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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