Individual
GABRIEL SHANNON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 HUNTERS VW, EUHARLEE, GA 30145-2834
(706) 728-5394
Mailing address
13 HUNTERS VW, EUHARLEE, GA 30145-2834
(706) 728-5394
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
03/06/2024
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