Provider Demographics
NPI:1053838193
Name:CARTER, AMY LYNN (CNM)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:CARTER
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:620 SUMMITT CROSSIG PLACE
Practice Address - Street 2:SUITE 108A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2189
Practice Address - Country:US
Practice Address - Phone:704-865-2229
Practice Address - Fax:704-865-2811
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-11-28
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Provider Licenses
StateLicense IDTaxonomies
GARN225192367A00000X
NCPENDING367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife