Organization
T CARTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA CARTER NP (NP)
(912) 550-7091
Entity
Organization
Contact information
Practice address
1610 ALICE ST, WAYCROSS, GA 31501-4533
(912) 550-7091
Mailing address
903 AZALEA ST, BLACKSHEAR, GA 31516-2337
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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