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NPI Code Detail

MEDICARE: VICTORIA LYNN CARTER

MEDICARE: VICTORIA LYNN CARTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-20-143744GA

General Provider Information

NPI Number : 1144822636
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LYNN CARTER
Provider Business Mailing Address
First Line : 740 E GENERAL STEWART WAY STE 202B
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2630
Country : US
Telephone Number : 912-294-4055
Fax Number : 866-467-4321
Provider Business Practice Location Address
First Line : 740 E GENERAL STEWART WAY STE 202B
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2630
Country : US
Telephone Number : 912-294-4055
Fax Number : 866-467-4321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 11/10/2020

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Directions to “ VICTORIA LYNN CARTER ” Practice Location

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