Individual provider · Type 1 NPI

Mia Rose Carter, PA

Medical Physician Assistant · Johnson City, TN

NPI number 1861316085 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Mailing address

352 E Waterlynn Rd
Mooresville, NC 28115-8027

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7427 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1861316085

Mia Rose Carter, PA's National Provider Identifier is 1861316085, issued on Aug 10, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Johnson City, TN. The record was last updated on Oct 29, 2026.