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NPI Code Detail

MEDICARE: ERIC JASON CARTER PA

MEDICARE:   ERIC JASON CARTER  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant103518NC

General Provider Information

NPI Number : 1184663866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC JASON CARTER PA
Provider Business Mailing Address
First Line : PO BOX 936857
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 S DICKINSON DR UNIT 230
Second Line :
City : LELAND
State : NC
Zip : 28451-6434
Country : US
Telephone Number : 910-662-6600
Fax Number : 910-550-3787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/03/2025

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Directions to “ ERIC JASON CARTER PA” Practice Location

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