Individual
NICOLE SMITH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 257-0553
(404) 256-4238
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 257-0553
(404) 256-4238
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN160487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
07/30/2007
Last updated
09/16/2011
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