Individual
MR. CARLETON ARGO MENTZER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
64 BLUFFTON RD, BLUFFTON, SC 29910-7621
(843) 757-0676
(843) 757-0779
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 757-0676
(843) 757-0779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1652
SC
363A00000X
Physician Assistant
PA.200003
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1380PA
—
SC
Enumeration date
03/01/2006
Last updated
11/06/2024
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