Individual
JASON MICHAEL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6189
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11008
NC
363AM0700X
Medical Physician Assistant
0010-11008
NC
Other
Enumeration date
05/24/2022
Last updated
07/28/2022
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