Provider Demographics
NPI:1164785077
Name:CARTER, DALE SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:SCOTT
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:167 ASHLEY AVE STE 308
Mailing Address - Street 2:MSC 912
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-9120
Mailing Address - Country:US
Mailing Address - Phone:843-792-2322
Mailing Address - Fax:843-792-9314
Practice Address - Street 1:167 ASHLEY AVE STE 308
Practice Address - Street 2:MSC 912
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-9120
Practice Address - Country:US
Practice Address - Phone:843-792-2322
Practice Address - Fax:843-792-9314
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC34949207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology