Healthcare Provider Details

I. General information

NPI: 1376500363
Provider Name (Legal Business Name): JOSEPH ROBERT CARTER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 S CASHUA DR
FLORENCE SC
29501-6302
US

IV. Provider business mailing address

2011C 2ND LOOP RD # 1-2
FLORENCE SC
29501-6124
US

V. Phone/Fax

Practice location:
  • Phone: 843-665-7500
  • Fax: 843-665-7630
Mailing address:
  • Phone: 843-665-7500
  • Fax: 843-665-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number116
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0770
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: