Individual
CARLTON KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 E PONCE DE LEON AVE, DECATUR, GA 30030-2711
(404) 377-7669
Mailing address
2918 AKRON ST, EAST POINT, GA 30344-3729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC010570
GA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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