Carter, Chris M

Carter, Chris M is an individual health care provider with primary practice located at 1700 Tree Lane , Snellville GA 30078-6766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carter, Chris M can be contacted via phone (404) 605-2800.

Contact Information

Primary practice address
1700 Tree Lane Snellville GA 30078-6766
Phone: (404) 605-2800
Fax: (404) 351-5983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002277 Georgia

Profile Details

NPI number 1578587952
LBN Legal business name Carter, Chris M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578587952 NPPES
Georgia MEDICAID 70762460A

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