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General NPI Number Information
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NPI Number | 1194019604
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Entity Type | Individual
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Provider Name | APRIL SHANNELLE CARTER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 6555 PROFESSIONAL PL STE A
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City | RIVERDALE
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State | GA
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Zip | 30274-4903
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Country | US
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Telephone | 770-997-7890
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Fax | 770-997-7894
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Provider Business Mailing Address
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Address Line | 7460 CHADS CIR
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City | JONESBORO
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State | GA
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Zip | 30236-5703
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Country | US
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Telephone | 404-324-8530
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Fax | 678-489-3209
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP007004
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License Number State | GA
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