Individual
CAROLYN LIZZY MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MOUNT SINAI DR, DAHLONEGA, GA 30533-2367
(404) 797-7442
Mailing address
330 MOUNT SINAI DR, DAHLONEGA, GA 30533-2367
(404) 797-7442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209788
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN209788
GEORGIA BOARD OF NURSING LICENSE
GA
Enumeration date
09/14/2016
Last updated
05/07/2019
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