Individual
MR. LEWIS DOUGLAS CARTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
SC
Other
Enumeration date
02/01/2011
Last updated
06/27/2011
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