Individual
DR. CARLTON LEE QUARELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
1850 LAKE PARK DR SE STE 106, SMYRNA, GA 30080-7642
(770) 403-3124
(770) 739-7659
Mailing address
1850 LAKE PARK DR SE STE 106, SMYRNA, GA 30080-7642
(770) 403-3124
(770) 739-7659
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000935426H
—
GA
Enumeration date
08/19/2006
Last updated
07/21/2022
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