Individual
BRANDON CLARK CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 BRENTWOOD ST, MARTINSBURG, WV 25404-7531
(304) 995-8074
Mailing address
311 PENDLETON LN, STRASBURG, VA 22657-2187
(304) 995-8074
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
150122417
WV
133NN1002X
Nutrition Education Nutritionist
150122417
WV
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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