Individual
MRS. JENNIFER GAYLE CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1762 MARS HILL RD NW, ACWORTH, GA 30101-8091
(678) 732-1500
Mailing address
472 BOTTESFORD DR NW, KENNESAW, GA 30144-7129
(269) 274-6294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN178859
GA
Other
Enumeration date
04/07/2011
Last updated
12/27/2023
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