Individual
DR. STACEY MARIA CARTER-FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1207 MAIN STREET SUITE C, PERRY, GA 31069
(478) 987-9666
(478) 988-8091
Mailing address
PO BOX 628, PERRY, GA 31069
(478) 987-9666
(478) 988-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH0819
PALMETTO GBA RAILROAD MEDICARE
GA
Enumeration date
03/14/2007
Last updated
03/17/2017
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