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NPI Profile for GARRY W CARRIKER II in CANTON, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1629595913 |
|
| Status | Active | |
| Credentials | CADC-II | |
| Entity | Individual | |
| Enumeration date | 08/28/2017 | |
| Last updated | 08/28/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GARRY W CARRIKER II
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