Individual
MR. ROBERT JOLES CARTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000194178
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186530
VA
367500000X
Certified Registered Nurse Anesthetist
121451
TN
Other
Enumeration date
07/31/2018
Last updated
03/15/2023
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