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Search › Georgia › 225100000X

Carson Pace

NPI 1871215608 · on the registry since 2022 · sole proprietor

Practice

Address
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone
(770) 721-2812
Organisation at this address
Canton Opco, Llc
Provident Group - Canton Cove Properties Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia