Individual
DAVID CARRUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS-AD
Contact information
Practice address
8335 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 324-0476
Mailing address
450 DAN PL SE, SMYRNA, GA 30082-2527
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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