Individual provider · NPI-1

John Joyce Carter IV, PA-C

Physician Assistant · Staunton, VA

NPI number1821583329
StatusActive
Last updated in NPPESJun 27, 2018

Details

NPI
1821583329
Entity type
Individual (NPI-1)
Name
John Joyce Carter IV
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2018
Last updated
Jun 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0110006220VAYes

Practice location

25 Myers Corner Dr
Staunton, VA 24401-6342

Phone 540-688-2646 · Fax 540-688-2656

Mailing address

Po Box 1138
Fishersville, VA 22939-1138

Phone 540-688-2646 · Fax 540-688-2656

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