Individual
TANAE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BUFORD DR, LAWRENCEVILLE, GA 30043-2570
(470) 394-1600
Mailing address
44 BRAVES AVE APT 2430, LAWRENCEVILLE, GA 30043-3374
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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