Individual
CHARLESTINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-8214
(601) 774-8379
Mailing address
PO BOX 2106, MERIDIAN, MS 39302-2106
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R794408
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124890
—
MS
Enumeration date
06/20/2006
Last updated
11/16/2011
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