Provider Demographics
NPI:1215731765
Name:WAUGH, CARTER DONIVAN (DO)
Entity type:Individual
Prefix:MR
First Name:CARTER
Middle Name:DONIVAN
Last Name:WAUGH
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 CHERRY STREET, ACC BASEMENT
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2603
Mailing Address - Country:US
Mailing Address - Phone:419-251-6522
Mailing Address - Fax:
Practice Address - Street 1:2213 FRANKLIN AVENUE
Practice Address - Street 2:FCC OB/GYN- MAIN FLOOR
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620
Practice Address - Country:US
Practice Address - Phone:419-251-2395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program