Individual
JEREMY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
19 EASTVIEW RD, AVERILL PARK, NY 12018-2402
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101286684
VA
Other
Enumeration date
05/20/2024
Last updated
09/14/2025
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