Individual
MR. CHRISTOPHER CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4743 ATLANTA HWY STE 100, LOGANVILLE, GA 30052-2686
(678) 230-8574
Mailing address
4743 ATLANTA HWY STE 100, LOGANVILLE, GA 30052-2686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003001
GA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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