Organization
SUGARLOAF SPINE & REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS CARTER DC (OWNER)
(770) 817-4445
Entity
Organization
Contact information
Practice address
1180 MCKENDREE CHURCH RD, SUITE 202, LAWRENCEVILLE, GA 30043-5207
(770) 817-4445
(770) 817-0832
Mailing address
1180 MCKENDREE CHURCH RD, SUITE 202, LAWRENCEVILLE, GA 30043-5207
(770) 817-4445
(770) 962-3474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038955
GA
Other
Enumeration date
02/17/2011
Last updated
03/04/2015
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