Individual
CARTER MAYOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RA
Contact information
Practice address
933 E PIERCE ST, ATTN: RADIOLOGY DEPT, COUNCIL BLUFFS, IA 51503-4652
(712) 396-6140
(712) 396-6227
Mailing address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 493-1212
(866) 363-5291
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RAD103746
IA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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