Individual
DR. RODERICK DAVIS CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
34 OLD IVY RD NE, SUITE 100, ATLANTA, GA 30342-4561
(404) 262-2838
(404) 869-1396
Mailing address
34 OLD IVY RD NE, SUITE 100, ATLANTA, GA 30342-4561
(404) 262-2838
(404) 869-1396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012529
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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