Individual
FAITH CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 NORTH BROAD STREET, PHILADELPHIA, PA 19140-5103
(215) 707-4600
Mailing address
3500 N BROAD STREET, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066364
PA
363A00000X
Physician Assistant
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Other
Enumeration date
01/17/2025
Last updated
05/29/2025
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