Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 17050 | CA |
Y | 213ER0200X | Radiology | 17050 | CA |
NPI | 1306148556 |
---|---|
Provider Name | James Edward Carter |
First Address | Danville, CA 94526-8548 |
Second Address | Danville, CA 94506-1291 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2010 |
Last Update Date | 20/11/2010 |