Individual
MR. EDWIN CARTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7667 ENOCH LAKE CIRCLE, LAKE PARK, GA 31636
(229) 375-6583
Mailing address
7667 ENOCH LAKE CIRCLE, LAKE PARK, GA 31636
(229) 375-6583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002487
GA
225200000X
Physical Therapy Assistant
23079
FL
Other
Enumeration date
04/30/2017
Last updated
01/06/2022
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