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Individual

LACHRISTA MCCARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 RENEGAR WAY, SAINT SIMONS ISLAND, GA 31522-8840
(912) 291-2029
Mailing address
158 SAPALO DR, SAINT MARYS, GA 31558-3709
(912) 506-6400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002146
GA
225200000X
Physical Therapy Assistant
PTA26117
FL

Other

Enumeration date
03/28/2016
Last updated
03/28/2016
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