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Individual

CAROLINE C ANAELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2121 FAIRBURN ROAD, SUITE B, DOUGLASVILLE, GA 30135-1029
(678) 594-3881
(678) 594-3871
Mailing address
2121 FAIRBURN ROAD, SUITE B, DOUGLASVILLE, GA 30135-1029
(678) 594-3881
(678) 594-3871

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN135346
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
456441108
GA
Enumeration date
07/29/2010
Last updated
10/13/2014
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