Individual
MRS. CAROLINE ALICIA HERAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD STE 600, ATLANTA, GA 30342
(404) 355-0743
(855) 286-3226
Mailing address
5505 PEACHTREE DUNWOODY RD STE 600, ATLANTA, GA 30342-1717
(404) 355-0743
(855) 286-3226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9107781
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9107781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010495200
—
FL
Enumeration date
01/29/2014
Last updated
06/12/2018
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