Individual
CHARISSE D CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1529 INTERNATIONAL BLVD STE 103, NORFOLK, VA 23513-4802
(757) 303-2729
Mailing address
1529 INTERNATIONAL BLVD STE 103, NORFOLK, VA 23513-4802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102206183
VA
Other
Enumeration date
05/11/2017
Last updated
01/25/2021
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