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Individual

ANITA CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
204 W WINSTON WAY, EASLEY, SC 29640-8300
(864) 906-7755
Mailing address
204 W WINSTON WAY, EASLEY, SC 29640-8300
(864) 906-7755

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
12/09/2011
Last updated
12/09/2011
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