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Contact Information

BRYAN D CARTER, PA
444 CLINCHFIELD ST STE 103
KINGSPORT, TN37660-3859
 Phone: 423-578-1518
 Fax: 423-230-6349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRYAN D CARTER · (Male)

NPI Number 1295273480
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/07/2017
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • TN License # PA0000003218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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