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1982698361
DUSTIN J CARTER
VIDALIA, GA
NPI
1982698361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003872)
Enumeration Date
2005-08-31
Last Update Date
2010-03-09
Business Address
-- DUSTIN J CARTER MPAS, PA-C
200 MAPLE DR
VIDALIA, GA 30474-8907
Phone number: 912-537-9851
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Mailing Address
-- DUSTIN J CARTER MPAS, PA-C
200 MAPLE DR
VIDALIA, GA 30474-8907
Phone number: 912-537-9851
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