Individual
JENNIFER H CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
710 DEWITT DR, LUGOFF, SC 29078-9069
(803) 438-7566
(803) 438-4371
Mailing address
PO BOX 1259, SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1128
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477PA
—
SC
01
—
192417
MEDCOST PIN
—
01
—
P00371643
RAILROAD MEDICARE PIN
SC
Enumeration date
09/13/2006
Last updated
08/26/2013
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