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NPI Profile for BRADIN CARTER in MARIETTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1295246049 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/19/2017 | |
| Last updated | 03/19/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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BRADIN CARTER
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BRADIN CARTER