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Contact Information

LEROY CARSWELL I, CADC T
270 HERITAGE WALK
WOODSTOCK, GA30188-3875
 Phone: 678-494-5700
 Fax: 678-494-5703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LEROY CARSWELL I · (Male)

NPI Number 1265154751
Status Active
Credentials CADC T
Entity Individual
Enumeration date 09/13/2022
Last updated 09/13/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # T0436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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