License Type Code = General
License Number = 1000281
Licensee Name = WALKER GRADY CARTER, MD
Business Name = WALKER GRADY CARTER, MD
Business Address Line1 = 144 PIERCE AVE
Business Address Line2 =
Business Address Line3 =
Business City = MACON
Business State = GA
Business Zip = 31204
Primary Phone = (478) 475-4608
Contact Name = WALKER GRADY CARTER, MD
License Status = Active
Start Of Business Date = 2014-09-08
Out Of Business Date =
Contractor = No
Application Date = 2014-09-08
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