Individual
GRADY L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4211 N PEARL ST, JACKSONVILLE, FL 32206-6411
(904) 358-8692
(904) 354-7161
Mailing address
4211 N PEARL ST, JACKSONVILLE, FL 32206-6411
(904) 358-8692
(904) 354-7161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2947
FL
Other
Enumeration date
11/08/2005
Last updated
02/04/2008
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