Threlkeld, Carly Elsie
Threlkeld, Carly Elsie is an individual health care provider with primary practice located at 1515 River Pl Ste 280 , Braselton GA 30517-5603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Threlkeld, Carly Elsie can be contacted via phone (770) 848-6190.Contact Information
Primary practice address
1515 River Pl Ste 280
Braselton GA 30517-5603
Phone: (770) 848-6190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10609 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10609 | Georgia |
Profile Details
| NPI number | 1548884893 |
|---|---|
| LBN Legal business name | Threlkeld, Carly Elsie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2020 |
| Last updated | Oct 1st, 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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