Provider Demographics
NPI:1801136445
Name:CARTER, ALICE HOWELL (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:HOWELL
Last Name:CARTER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 LONGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9482
Mailing Address - Country:US
Mailing Address - Phone:803-691-4045
Mailing Address - Fax:803-699-2681
Practice Address - Street 1:1001 LONGTOWN RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9482
Practice Address - Country:US
Practice Address - Phone:803-691-4045
Practice Address - Fax:803-699-2681
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC62167163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool