Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 2561 | AL |
NPI | 1952809329 |
---|---|
Provider Name | Dr. Jennifer Michelle Carter |
First Address | Fairhope, AL 36532-7608 |
Second Address | Fairhope, AL 36532-2949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2018 |
Last Update Date | 31/01/2018 |