Individual
LARRY DEAN CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 534-0021
(740) 534-0029
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
019320
OH
Other
Enumeration date
08/28/2016
Last updated
03/17/2018
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