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Individual

SHERIDAN THAGARD CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 LANCER LN, MARTINSVILLE, VA 24112-0473
(276) 638-1022
Mailing address
255 LANCER LN, MARTINSVILLE, VA 24112-0473

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VQX134M80024
ANTHEM
Enumeration date
12/18/2019
Last updated
07/28/2025
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