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Melissa Sue Carter

Physical Therapist, Pediatrics in Prosperity, SC. Individual provider (NPI-1).

NPI number1497051007
StatusActive
Last updated in NPPESMar 1, 2011

Details

NPI
1497051007
Entity type
Individual (NPI-1)
Name
Mrs. Melissa Sue Carter
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 28, 2011
Last updated
Mar 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics4237SCYes

Practice location

154 Holland Shores Ln
Prosperity, SC 29127-9044

Phone 803-429-9048

Mailing address

154 Holland Shores Ln
Prosperity, SC 29127-9044

Phone 803-429-9048

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