Individual
CARLY THAMER DONNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 POPLAR RD STE 160, NEWNAN, GA 30265-8302
(770) 400-4630
Mailing address
403 HOLLY BROOK LN, PEACHTREE CITY, GA 30269-3069
(404) 408-8961
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN248778
GA
363LF0000X
Family Nurse Practitioner
RN248778
GA
Other
Enumeration date
07/19/2019
Last updated
05/14/2020
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