Individual
PAUL DOUGLAS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2701 HOLME AVE STE 302, PHILADELPHIA, PA 19152-2029
(215) 335-7705
Mailing address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 332-1300
(215) 332-5219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA-000216L
PA
363AM0700X
Medical Physician Assistant
Primary
MA001818L
PA
Other
Enumeration date
02/25/2007
Last updated
07/29/2022
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