MEDICARE: T CARTER LLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1881558641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T CARTER LLC

Provider Business Mailing Address
First Line	:	1610 ALICE ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31501-4533
Country	:	US
Telephone Number	:	912-590-4366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 ALICE ST
Second Line	:
City	:	WAYCROSS
State	:	GA
Zip	:	31501-4533
Country	:	US
Telephone Number	:	912-590-4366
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIERRA CARTER
Credential	:	NP
Telephone Number	:	912-550-7091

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “T CARTER LLC ” Practice Location

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