Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | C0001427 | MD |
NPI | 1124202379 |
---|---|
Provider Name | Estelle W Carter |
First Address | Owings Mills, MD 21117-1375 |
Second Address | Baltimore, MD 21201-1771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 20/08/2021 |