Individual
CAROLINE BROCKMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
2188 GATES DR, TALLAHASSEE, FL 32312-3172
(850) 363-2355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/27/2023
Last updated
06/21/2023
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