Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MMD.34732 LL | SC |
Y | 2084N0402X | Child Neurologist | 34732 | SC |
NPI | 1104188960 |
---|---|
Provider Name | Dr. Emma Grace Carter |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 15/10/2020 |