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Individual

ALEXANDER J CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
25501 CHAGRIN BLVD STE 200, BEACHWOOD, OH 44122-5603
(844) 746-8537
(216) 450-1810
Mailing address
23811 CHAGRIN BLVD STE 244, BEACHWOOD, OH 44122-5525
(844) 746-8537
(216) 450-1810

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004597RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157912
OH
01
H393111
MEDICARE
OH
01
H393112
MEDICARE
OH
Enumeration date
02/15/2016
Last updated
04/30/2019
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