Individual
CARTER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
106 PEARL DR STE 104, LA FAYETTE, GA 30728-7510
(706) 638-3880
(706) 638-3890
Mailing address
PO BOX 528, ROME, GA 30162-0528
(706) 528-4207
(706) 528-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017739
GA
Other
Enumeration date
05/20/2025
Last updated
06/03/2025
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