Individual
MARY KATHERINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 TOWN CENTER PARKWAY, STE 400, RESTON, VA 20190
(703) 810-5217
(703) 810-5423
Mailing address
PO BOX 75868, BALTIMORE, MD 21275-5868
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006613
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/21/2019
Last updated
10/26/2020
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