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Individual

MS. SANDRA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2913 BETIN AVE, MONROE, LA 71201
(318) 388-1250
(318) 247-6018
Mailing address
1507 AVON AVE, RUSTON, LA 71270-4709
(318) 243-3793
(318) 247-6018

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP04142
LA
363LF0000X
Family Nurse Practitioner
Primary
AP04142
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1141721
LA
Enumeration date
06/13/2006
Last updated
05/01/2019
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