Organization
CC&D SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN CARTER (OWNER)
(770) 687-9321
Entity
Organization
Contact information
Practice address
5040 SNAPFINGER WOODS DR STE 108, DECATUR, GA 30035-4020
(470) 709-2915
Mailing address
5040 SNAPFINGER WOODS DR STE 108, DECATUR, GA 30035-4020
(470) 709-2915
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003235378A
—
GA
Enumeration date
04/19/2019
Last updated
02/16/2021
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