Healthcare Provider Details

I. General information

NPI: 1831621812
Provider Name (Legal Business Name): HANNAH CARTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 04/20/2021
Certification Date: 04/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N VEITCH ST APT 1026
ARLINGTON VA
22201-5832
US

IV. Provider business mailing address

222 HERLONG AVE S
ROCK HILL SC
29732-1158
US

V. Phone/Fax

Practice location:
  • Phone: 248-860-2383
  • Fax:
Mailing address:
  • Phone: 803-329-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD84008
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: