Healthcare Provider Details

I. General information

NPI: 1285572818
Provider Name (Legal Business Name): COLLIN EDWARD MCCARTER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LANCASTER AVE
GREER SC
29650-1235
US

IV. Provider business mailing address

400 S MAIN ST UNIT 102
TRAVELERS REST SC
29690-1405
US

V. Phone/Fax

Practice location:
  • Phone: 864-877-3052
  • Fax:
Mailing address:
  • Phone: 864-415-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: