Individual
ERICA CARELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 AVIARY LN, DALLAS, GA 30132-7808
(678) 993-5191
Mailing address
111 AVIARY LN, DALLAS, GA 30132-7808
(786) 993-5191
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
172V00000X
Community Health Worker
Primary
—
—
332U00000X
Home Delivered Meals
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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