Provider Demographics
NPI:1962017137
Name:CARTER, RHONDA LEA
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:LEA
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 1:5123 ASHMONT AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-4377
Mailing Address - Country:US
Mailing Address - Phone:330-806-5085
Mailing Address - Fax:
Practice Address - Street 1:5123 ASHMONT AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-4377
Practice Address - Country:US
Practice Address - Phone:330-806-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)