Individual
JUSTIN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 CORRELL AVE NE, CANTON, OH 44704-1228
(330) 705-4556
Mailing address
803 CORRELL AVE NE, CANTON, OH 44704-1228
(330) 705-4556
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SB951934
OH
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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