Individual
BRIANNA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 CHEROKEE ST, VALDOSTA, GA 31602-2861
(229) 249-7730
Mailing address
903 CHEROKEE ST, VALDOSTA, GA 31602-2861
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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