Individual
MR. JOHN CORDELL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
109 OSIGIAN BLVD, WARNER ROBINS, GA 31088-8922
(478) 333-2411
Mailing address
110 PARKVIEW GRV, KATHLEEN, GA 31047-5307
(478) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC006465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APC006465
PRIVATE INSURANCE
GA
Enumeration date
08/01/2018
Last updated
08/01/2018
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