Carson, Jeanine
Carson, Jeanine is an sole proprietor health care provider with primary practice located at 311 White Ingram Pkwy , Dallas GA 30132-0969. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carson, Jeanine can be contacted via phone (678) 363-7447.Contact Information
Primary practice address
311 White Ingram Pkwy
Dallas GA 30132-0969
Phone: (678) 363-7447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 01787 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Georgia |
Profile Details
| NPI number | 1184408312 |
|---|---|
| LBN Legal business name | Carson, Jeanine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2023 |
| Last updated | Nov 21st, 2023 - about 2 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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