Carroll, Carmelia Renee
Carroll, Carmelia Renee is an individual health care provider with primary practice located at 2100 Riveredge Pkwy , Sandy Springs GA 30328-4693. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carroll, Carmelia Renee can be contacted via phone (229) 996-2834.Contact Information
Primary practice address
2100 Riveredge Pkwy
Sandy Springs GA 30328-4693
Phone: (229) 996-2834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R470717 | Georgia |
Profile Details
| NPI number | 1871979229 |
|---|---|
| LBN Legal business name | Carroll, Carmelia Renee |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2015 |
| Last updated | Oct 2nd, 2026 - about 9.3026851851852 days ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871979229 | NPPES |
| North Carolina | MEDICAID | 1871979229 |
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