Individual
DR. KITTY B CARTER-WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1513 CLEVELAND AVE BLDG 500, EAST POINT, GA 30344-6903
(404) 752-1000
Mailing address
75 PIEDMONT AVE, SUITE 700, ATLANTA, GA 30303-2544
(404) 756-5764
(404) 756-5252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679907
—
GA
Enumeration date
07/21/2005
Last updated
03/02/2012
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