Cici Carter, M.D.
Family Medicine in Fort Mill, SC. Individual provider (NPI-1).
NPI number1740694348
StatusActive
Last updated in NPPESMay 24, 2024
Details
- NPI
- 1740694348
- Entity type
- Individual (NPI-1)
- Name
- Cici Carter
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2014
- Certification date
- May 24, 2024
- Last updated
- May 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 36889 | SC | Yes |
| 207Q00000X | Family Medicine | 0101277312 | VA | |
| 207Q00000X | Family Medicine | TPME2863 | FL | |
| 207Q00000X | Family Medicine | 03234 | NC | |
| 207Q00000X | Family Medicine | 320491-01 | NY | |
| 207Q00000X | Family Medicine | 4301508448 | MI |
Other names
- Justine Carter (Former Name)
Practice location
2354 Vineyard RdFort Mill, SC 29708-8031
Phone 518-928-8153
Mailing address
2354 Vineyard RdFort Mill, SC 29708-8031
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