Individual
MR. COREY A CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.A.
Contact information
Practice address
117 E 19TH STREET, ROSWELL, NM 88201
(575) 627-7000
Mailing address
117 E 19TH ST, ROSWELL, NM 88201-5151
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
03/17/2018
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