Individual
MISS CORINE M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-8604
(434) 924-8604
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008614
VA
363A00000X
Physician Assistant
TC948
KY
363AM0700X
Medical Physician Assistant
TC948
KY
363AS0400X
Surgical Physician Assistant
TC948
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2020
Last updated
06/13/2022
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