Provider Demographics
NPI:1568607307
Name:CARTER, SARA A (RD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:CARTER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:970 PARCHMENT DRIVE SE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-949-4840
Mailing Address - Fax:616-949-3531
Practice Address - Street 1:970 PARCHMENT DRIVE SE
Practice Address - Street 2:SUITE 203 GRAND RAPIDS ALLERGY, PLC
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-949-4840
Practice Address - Fax:616-949-3531
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered