Provider Demographics
NPI:1063283018
Name:CARTER, SABRINA
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10480 KLEIN RD APT 65
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-3514
Mailing Address - Country:US
Mailing Address - Phone:601-447-1560
Mailing Address - Fax:
Practice Address - Street 1:10480 KLEIN RD APT 65
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3514
Practice Address - Country:US
Practice Address - Phone:601-447-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion