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Individual

AJA CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
317 VILLA RIDGE PKWY, LAWRENCEVILLE, GA 30044-2327
(516) 695-5551
Mailing address
317 VILLA RIDGE PKWY, LAWRENCEVILLE, GA 30044-2327

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003778
GA

Other

Enumeration date
03/19/2020
Last updated
03/19/2020
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