Organization
CARTER GLOBAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RENEE MACK APN (CEO)
(856) 335-2288
Entity
Organization
Contact information
Practice address
321 E BROAD ST, GIBBSTOWN, NJ 08027-2007
(856) 335-2288
(856) 335-2288
Mailing address
321 E BROAD ST, GIBBSTOWN, NJ 08027-2007
(856) 335-2288
(856) 335-2288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759571
—
NJ
Enumeration date
09/05/2021
Last updated
09/05/2021
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