Provider Demographics
NPI:1497430011
Name:CARTER, MAGGIE
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30762 COUNTY ROAD 59
Mailing Address - Street 2:
Mailing Address - City:LOWER SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:45745-9504
Mailing Address - Country:US
Mailing Address - Phone:740-255-4984
Mailing Address - Fax:
Practice Address - Street 1:30762 COUNTY ROAD 59
Practice Address - Street 2:
Practice Address - City:LOWER SALEM
Practice Address - State:OH
Practice Address - Zip Code:45745-9504
Practice Address - Country:US
Practice Address - Phone:740-255-4984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health