Individual
STELLA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 628-7026
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 628-7026
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
056083038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056083038
—
GA
Enumeration date
12/17/2013
Last updated
12/17/2013
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