Individual
MR. GEORGE EMMITT CARTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10630 CLEMSON BLVD, STE 100, SENECA, SC 29678-4546
(864) 482-6000
Mailing address
941 N CRESTVIEW DR, SENECA, SC 29678-1001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077PA
—
SC
01
—
970029181
RR MEDICARE
SC
Enumeration date
03/24/2006
Last updated
12/07/2009
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