Individual
MARY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7800
Mailing address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004598RX
OH
Other
Enumeration date
02/16/2016
Last updated
04/27/2018
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