Provider Demographics
NPI:1033358759
Name:CARTER, CHRISTOPHER G (PA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:G
Last Name:CARTER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45 STILES RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2851
Mailing Address - Country:US
Mailing Address - Phone:603-824-6937
Mailing Address - Fax:603-824-6939
Practice Address - Street 1:45 STILES RD STE 206
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2851
Practice Address - Country:US
Practice Address - Phone:603-824-6937
Practice Address - Fax:603-824-6939
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0498363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AP2141OtherNHIC PART B MEDICARE
NH30332822Medicaid
NH30332822Medicaid