Individual
CAROL PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-6046
(404) 785-5437
Mailing address
2452 SHADYDALE LN, DECATUR, GA 30033-4824
(706) 348-3896
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN231408
GA
Other
Enumeration date
03/07/2021
Last updated
07/28/2023
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