Organization
MEDICINE WHEEL HEALING ART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH O CARTER M.D. (CEO)
(704) 905-8834
Entity
Organization
Contact information
Practice address
1040 EDGEWATER CORP PKWY STE 101, INDIAN LAND, SC 29707-4514
(704) 905-8834
Mailing address
701 ROYAL CT, UNIT 1008, CHARLOTTE, NC 28202-2748
(704) 905-8834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19167
SC
Other
Enumeration date
01/09/2015
Last updated
11/03/2015
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