Individual
SUSANNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ELDEN ST STE 3B, HERNDON, VA 20170-4834
(703) 709-9771
Mailing address
171 ELDEN ST STE 3B, HERNDON, VA 20170-4834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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