Healthcare Provider Details

I. General information

NPI: 1801136445
Provider Name (Legal Business Name): ALICE HOWELL CARTER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LONGTOWN RD
COLUMBIA SC
29229-9482
US

IV. Provider business mailing address

1001 LONGTOWN RD
COLUMBIA SC
29229-9482
US

V. Phone/Fax

Practice location:
  • Phone: 803-691-4045
  • Fax: 803-699-2681
Mailing address:
  • Phone: 803-691-4045
  • Fax: 803-699-2681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number62167
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: