Individual
JOHN JOYCE CARTER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 MYERS CORNER DR, STAUNTON, VA 24401-6342
(540) 688-2646
(540) 688-2656
Mailing address
PO BOX 1138, FISHERSVILLE, VA 22939-1138
(540) 688-2646
(540) 688-2656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110006220
COMMONWEALTH OF VA DEPT OF HEALTH PROFESSIONS STATE LICENSE
VA
Enumeration date
06/27/2018
Last updated
06/27/2018
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