Individual
DR. LEO RONDUS CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2115 EXECUTIVE DR STE 2D, HAMPTON, VA 23666-2411
(757) 827-1351
Mailing address
2115 EXECUTIVE DR STE 2D, HAMPTON, VA 23666-2411
(757) 827-1351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220094
MAMSI
VA
01
—
51268
OPTIMA HEALTH
VA
05
—
6500196
—
VA
Enumeration date
07/28/2006
Last updated
07/09/2007
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