Wilton Todd Carter

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT007086 Issued in GA

Practice address

101 Harris Industrial Blvd
Vidalia, GA 30474-8852

Phone

(912) 278-1479

NPI assigned

Aug 19, 2018

Last updated

Aug 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1174003180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 OAK CLIFF ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315134480",
            "telephone_number": "912-278-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HARRIS INDUSTRIAL BLVD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748852",
            "telephone_number": "912-278-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILTON",
        "middle_name": "TODD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT007086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Cabe
• Camp Wanna Be
• James William Campbell III, FNP-C
• Cardiology Associates of Vidalia, P.C.
• Dustin J Carter, MPAS, PA-C
• Brenna Casey, DO
• Virginia Grace Gourley Cato, PHARMD, RPH
• Ann Marie Chalker, CRNA
• Archie Joel Champion III, PA-C
• Chapman Healthcare Pharmacy Inc (Chapman Pharmacy)

• Massage Therapist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.