Lyerly, Carol P

Lyerly, Carol P is an individual health care provider with primary practice located at 260 Elm St , Cumming GA 30040-2467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lyerly, Carol P can be contacted via phone (770) 887-1668.

Contact Information

Primary practice address
260 Elm St Cumming GA 30040-2467
Phone: (770) 887-1668
Fax: (770) 781-9937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN116155 NP Georgia

Profile Details

NPI number 1144228842
LBN Legal business name Lyerly, Carol P
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 11th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144228842 NPPES
Georgia Other RN116155 NP NP LICENSE

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