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General NPI Number Information
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NPI Number | 1023902137
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Entity Type | Individual
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Provider Name | SUZANNE FULLER CARTER FNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 599 3RD AVE
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City | WEST POINT
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State | GA
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Zip | 31833-1523
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Country | US
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Telephone | 706-242-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 14684 HIGHWAY 22 E
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City | DAVISTON
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State | AL
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Zip | 36256-6600
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Country | US
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Telephone | 706-773-8141
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 003146
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License Number State | GA
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