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Individual

CHRIS M CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1700 TREE LANE, SNELLVILLE, GA 30078-6766
(404) 605-2800
(404) 351-5983
Mailing address
1700 TREE LANE, SUITE 190, SNELLVILLE, GA 30078-6766
(404) 605-2800
(404) 351-5983

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002277
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70762460A
GA
Enumeration date
07/27/2006
Last updated
09/20/2012
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