Individual
MR. MICHAEL DONNELL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 CARR MEADOW DR, RIDGELAND, MS 39157-1821
(601) 383-2904
Mailing address
304 CARR MEADOW DR, RIDGELAND, MS 39157-1821
(601) 383-2904
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
03/29/2011
Last updated
04/11/2011
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