Craig D. Carter, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Avondale Estates, GA
NPI 1720113665 · NPPES record last updated Apr 6, 2015
Key facts
- NPI
- 1720113665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 2586 (GA)
- Practice address
- 118 N Avondale Rd
Avondale Estates, GA 30002-1325 - Phone
- (404) 499-0005
- Fax
- (404) 499-0006
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2586 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allwell Physicians | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2586 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | 2586 | GA | Yes |
Addresses
Primary practice location
118 N Avondale Rd
Avondale Estates, GA 30002-1325
Mailing address
PO Box 354
Decatur, GA 30031-0354
Phone (404) 499-0005
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- Julia R Codrington
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All providers in Avondale Estates, GA · Rehabilitation Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.