Individual
CARRIE SILAS FOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 HOSPITAL RD, FT GORDON, GA 30905
(706) 799-9915
Mailing address
300 E HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188256
GA
363L00000X
Nurse Practitioner
RN188256
GA
363LF0000X
Family Nurse Practitioner
Primary
188256
GA
Other
Enumeration date
09/18/2014
Last updated
01/30/2025
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