Individual
RICHARD MICHAEL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 MOSSY PT, CANTON, GA 30114-6638
(470) 336-8144
Mailing address
208 MOSSY PT, CANTON, GA 30114-6638
(470) 336-8144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013577
GA
Other
Enumeration date
09/23/2021
Last updated
09/30/2021
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