Individual
JOHN MICHAEL CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3540 COBB PKWY NW, ACWORTH, GA 30101-4178
(678) 501-6300
(678) 721-7799
Mailing address
80 TECHNACENTER DR, SUITE 300, MONTGOMERY, AL 36117-6028
(334) 625-5795
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13639900
CAQH
GA
01
—
P01584057
MEDICARE RR
GA
Enumeration date
10/10/2014
Last updated
03/16/2016
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