Carter, Elisa M

Carter, Elisa M is an individual health care provider with primary practice located at 100 Plank Bridge Rd , Camden NC 27921. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Carter, Elisa M can be contacted via phone (252) 331-1829.

Contact Information

Primary practice address
100 Plank Bridge Rd Camden NC 27921
Phone: (252) 331-1829
Fax: (252) 331-2916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0110001676 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001676 Virginia

Profile Details

NPI number 1164431755
LBN Legal business name Carter, Elisa M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164431755 NPPES
Virginia MEDICAID 010385407

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