Individual
MR. RODNEY LARMONT CARTER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 MAPLE SPRINGS DR, AXTON, VA 24054-2303
(434) 728-2928
Mailing address
205 MAPLE SPRINGS DR, AXTON, VA 24054-2303
(434) 728-2928
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60218571
VA
Other
Enumeration date
10/05/2020
Last updated
10/10/2020
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