Carter, Grady Gerald

Carter, Grady Gerald is an sole proprietor health care provider with primary practice located at 100 Whetstone Pl Ste 102 , St Augustine FL 32086-5775. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carter, Grady Gerald can be contacted via phone (904) 342-8300.

Contact Information

Primary practice address
100 Whetstone Pl Ste 102 St Augustine FL 32086-5775
Phone: (904) 342-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9113401 Florida

Profile Details

NPI number 1902426851
LBN Legal business name Carter, Grady Gerald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2020
Last updated Aug 22nd, 2022 - about 3 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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