Individual
MARY AUGUSTA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 FOREST AVE STE 100, RICHMOND, VA 23229-4933
(804) 282-9479
Mailing address
7601 FOREST AVE STE 100, RICHMOND, VA 23229-4933
(804) 282-9479
(804) 282-9619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001252257
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024181226
VA
Other
Enumeration date
04/01/2019
Last updated
01/11/2023
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