Individual
ALONZO CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 EAGLE VIEW DR, SENATOBIA, MS 38668-0077
(901) 562-3317
Mailing address
109 EAGLE VIEW DR, SENATOBIA, MS 38668-0077
(901) 562-3317
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1180827
MS
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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