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NPI Code Detail

MEDICARE: ERICA GREEN CARTER M.D.

MEDICARE: ERICA GREEN CARTER M.D.
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
1207Q00000XFamily Medicine PhysicianFC0583559-3870NC
2207Q00000XFamily Medicine Physician0101253538VA

General Provider Information

NPI Number : 1174841894
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA GREEN CARTER M.D.
Provider Business Mailing Address
First Line : 13506 BLUE HERON CIR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23838-3258
Country : US
Telephone Number : 804-898-2426
Fax Number : 341-888-6001
Provider Business Practice Location Address
First Line : 2003 COBB ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-2603
Country : US
Telephone Number : 341-888-6001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2010
Last Update Date : 08/10/2023

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