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General NPI Number Information
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NPI Number | 1922612134
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Entity Type | Individual
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Provider Name | DAVID CARTER MACOM
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Gender | Male
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 681 FALMOUTH RD STE B23
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City | MASHPEE
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State | MA
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Zip | 02649-6312
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Country | US
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Telephone | 508-539-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 2 JOHN EWER RD
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City | SANDWICH
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State | MA
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Zip | 02563
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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