Provider Demographics
NPI:1407662786
Name:CARTER, WHITNEY MICHELLE (ATC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MICHELLE
Last Name:CARTER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 SANDLER BLVD UNIT 1202
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-6204
Mailing Address - Country:US
Mailing Address - Phone:803-412-4100
Mailing Address - Fax:
Practice Address - Street 1:700 GARDNER LACY RD
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-0915
Practice Address - Country:US
Practice Address - Phone:843-236-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCATH16032255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer