Individual
ERIC W CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(855) 446-5937
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175033
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.358502
OH
171M00000X
Case Manager/Care Coordinator
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086086
—
OH
Enumeration date
07/18/2016
Last updated
02/28/2024
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