Individual
MARK DOUGLAS CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2346 WISTERIA DR STE 110, SNELLVILLE, GA 30078-6174
(678) 701-2225
Mailing address
170 FORREST LAKE RD, ALPHARETTA, GA 30022-1009
(678) 910-8533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003787
GA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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