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Individual

DR. KRISTINA DANETTE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
104 NORTH JACKSON STREET, TULLAHOMA, TN 37388
(678) 900-4793
Mailing address
652 ANGIER AVE NE, ATLANTA, GA 30308-3166
(678) 900-4793

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020398
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020398
GA RPH LICENSE
GA
Enumeration date
01/31/2013
Last updated
12/26/2024
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