Individual
PAULA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 IDLEWOOD LN, HARTWELL, GA 30643-6507
(706) 436-0730
Mailing address
155 IDLEWOOD LN, HARTWELL, GA 30643-6507
(706) 436-0730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN097148
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000786453E
—
GA
05
—
000786453I
—
GA
05
—
000786453J
—
GA
Enumeration date
01/26/2007
Last updated
04/08/2009
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