Individual
MRS. BONNIE G CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 MILL ST, PRINCETON, ME 04668-3344
(207) 796-2729
Mailing address
108 MILL ST, PRINCETON, ME 04668-3344
(207) 796-2729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
402181
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432283000
MAINECARE NUMBER
ME
Enumeration date
07/07/2009
Last updated
07/07/2009
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