Individual
MS. KENISHA ERONA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000
Mailing address
3470 ARBROATH DR, DOUGLASVILLE, GA 30135-6731
(770) 947-6862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003768
GA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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