Individual
DR. PORTIA ELLIS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3614 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(770) 432-6070
(770) 432-5122
Mailing address
4907 VININGS RIDGE TRL SE, MABLETON, GA 30126-5905
(770) 432-6070
(770) 432-5122
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011626
GA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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