Provider Demographics
NPI:1548663974
Name:CARTER, DAVID SCOTT
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1207
Mailing Address - Country:US
Mailing Address - Phone:864-479-0070
Mailing Address - Fax:864-479-0072
Practice Address - Street 1:905 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1207
Practice Address - Country:US
Practice Address - Phone:864-479-0070
Practice Address - Fax:864-479-0072
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501016963225100000X
SC7703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist