Provider Demographics
NPI:1770146532
Name:CARTER, JAMES P
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 1/2 I ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2727
Mailing Address - Country:US
Mailing Address - Phone:202-367-1701
Mailing Address - Fax:
Practice Address - Street 1:625 1/2 I ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2727
Practice Address - Country:US
Practice Address - Phone:202-367-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health