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Organization

CARTER PEDIATRIC THERAPY SERVICES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA JANE CARTER MED, CCC-SLP (OWNER/SPEECH THERAPIST)
(478) 747-8531
Entity
Organization

Contact information

Practice address
5097 PLANTERS XING, HAHIRA, GA 31632-2626
(478) 747-8531
Mailing address
5097 PLANTERS XING, HAHIRA, GA 31632-2626
(478) 747-8531

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007428
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003104274C
GA
Enumeration date
02/02/2015
Last updated
02/02/2015
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