Provider Demographics
NPI:1619220415
Name:CARTER, CAROL F
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:F
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 1:640 CLAY ST
Mailing Address - Street 2:103
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2502
Mailing Address - Country:US
Mailing Address - Phone:404-380-7273
Mailing Address - Fax:
Practice Address - Street 1:640 CLAY ST
Practice Address - Street 2:103
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2502
Practice Address - Country:US
Practice Address - Phone:404-380-7273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular