Doctor Name: | MR. DARREN D CARTER |
NPI Number: | 1760775746 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2011016702 |
Business Practice Address: | 5140 Bridle Point Pkwy Snellville, GA - 300393350 |
Business Phone Number: | 7706879321 |
Business Fax Number: | |
Mailing Address: | 5140 Bridle Point Pkwy, SNELLVILLE |
State: | GA |
Postal Code: | 300393350 |
Phone Number: | 7706879321 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 2011016702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |