| E Carter Enterprises | |
|
13506 Blue Heron Cir Chesterfield VA 23838-3258 | |
| (804) 898-2426 | |
| (804) 282-9135 |
| Full Name | E Carter Enterprises |
|---|---|
| Speciality | Family Medicine |
| Location | 13506 Blue Heron Cir, Chesterfield, Virginia |
| Authorized Official Name and Position | Erica G Carter (OWNER/MD) |
| Authorized Official Contact | 8048982426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Carter Enterprises 13506 Blue Heron Cir Chesterfield VA 23838-3258 Ph: (804) 898-2426 | E Carter Enterprises 13506 Blue Heron Cir Chesterfield VA 23838-3258 Ph: (804) 898-2426 |
| NPI Number | 1467002717 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 3779915608 |
|---|---|
| Medicare Enrollment ID | O20191114003475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467002717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erica Green Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174841894 PECOS PAC ID: 2769624147 Enrollment ID: I20130814000630 |
| Provider Name | Sarah W Tiesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891130415 PECOS PAC ID: 1951542844 Enrollment ID: I20180130002869 |
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