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Individual

HOLLY W CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 489-4438
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-104377
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127973
AL
Enumeration date
10/26/2009
Last updated
03/04/2013
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