Provider Demographics
NPI:1841081411
Name:CARTER, MACKENZIE LONDON (DC)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:LONDON
Last Name:CARTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MACKENZIE
Other - Middle Name:LONDON
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:235 JENKINSON DR
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-6153
Mailing Address - Country:US
Mailing Address - Phone:214-551-0270
Mailing Address - Fax:
Practice Address - Street 1:2703 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-7349
Practice Address - Country:US
Practice Address - Phone:903-494-5101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor