Provider Demographics
NPI:1447458963
Name:CARTER, CAMEO ASHLEY (MD)
Entity type:Individual
Prefix:DR
First Name:CAMEO
Middle Name:ASHLEY
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 539
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:CA
Mailing Address - Zip Code:92318-0539
Mailing Address - Country:US
Mailing Address - Phone:909-556-6146
Mailing Address - Fax:909-752-6182
Practice Address - Street 1:255 TERRACINA BLVD
Practice Address - Street 2:SUITE 205 A/B
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4870
Practice Address - Country:US
Practice Address - Phone:909-556-6146
Practice Address - Fax:909-752-6182
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA94105208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics