Mrs Erica Katelin Carter, DC | |
579 Haywood Rd, Greenville, SC 29607-2710 | |
(864) 568-5255 | |
Not Available |
Full Name | Mrs Erica Katelin Carter |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 579 Haywood Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578058228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4231 (South Carolina) | Primary |
Provider Name | Radiance Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386121226 PECOS PAC ID: 3375883945 Enrollment ID: O20190318001601 |
Mailing Address | Practice Location Address |
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Mrs Erica Katelin Carter, DC 579 Haywood Rd, Greenville, SC 29607-2710 Ph: () - | Mrs Erica Katelin Carter, DC 579 Haywood Rd, Greenville, SC 29607-2710 Ph: (864) 568-5255 |
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