Carroll, Tia
Carroll, Tia is an sole proprietor health care provider with primary practice located at 9798 Musket Ridge Cir , Jonesboro GA 30238-6712. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Community Health, Nursing Service Providers / Home Health, Nursing Service Providers / Wound Care, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Carroll, Tia can be contacted via phone (404) 388-9209.Contact Information
Primary practice address
9798 Musket Ridge Cir
Jonesboro GA 30238-6712
Phone: (404) 388-9209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | RN163876 | Georgia |
| Nursing Service Providers / Community Health | 163WC1500X | RN163876 | Georgia |
| Nursing Service Providers / Home Health | 163WH0200X | RN163876 | Georgia |
| Nursing Service Providers / Wound Care | 163WW0000X | RN163876 | Georgia |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN163876 | Georgia |
Profile Details
| NPI number | 1063181741 |
|---|---|
| LBN Legal business name | Carroll, Tia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2021 |
| Last updated | Sep 7th, 2021 - about 5 years 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.
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