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Individual

CAROLINE CHARLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE BSN

Contact information

Practice address
7952 N MAIN ST, JONESBORO, GA 30236-2239
(470) 306-9918
Mailing address
11585 JONES BRIDGE ROAD, STE #420 UNIT #139, JOHNS CREEK, GA 30022
(470) 306-9918

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226779
GA

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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