Individual
BRYAN PATRICK CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
958 ISABEL DR, LEBANON, PA 17042-7482
(717) 639-2978
(717) 412-1005
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 639-2978
(717) 412-1005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062003
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2020
Last updated
11/03/2020
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